Active NPI
Traveling Health LLC
- Gerontology Nurse Practitioner
- Caledonia, MN
National Provider Identifier
1861291536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- Legal business name
- TRAVELING HEALTH LLC
- Practice address
- 405 S Highway 44 76
Caledonia, MN 55921-1861 - Phone
- (608) 668-9118
- Fax
- (608) 305-8746
- NPI assigned
- Mar 13, 2025
- Last updated
- Jan 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amanda Mae Hartzell Middendorf, ARNP
- Title
- Owner
- Phone
- (608) 668-9118
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NU | Primary |
Addresses
Primary practice location
405 S Highway 44 76
Caledonia, MN 55921-1861
Mailing address
714 S Marshall St
Caledonia, MN 55921-1418
Phone (608) 668-9118
Other practice location 1
1010 E Wausau Ave
Wausau, WI 54403-3101
Phone (715) 842-2028
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MN
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769472000000",
"number": "1861291536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "714 S MARSHALL ST",
"city": "CALEDONIA",
"state": "MN",
"postal_code": "559211418",
"telephone_number": "608-668-9118",
"fax_number": "608-305-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 S HIGHWAY 44 76",
"city": "CALEDONIA",
"state": "MN",
"postal_code": "559211861",
"telephone_number": "608-668-9118",
"fax_number": "608-305-8746"
}
],
"practiceLocations": [
{
"address_1": "1010 E Wausau Ave",
"address_purpose": "LOCATION",
"city": "Wausau",
"state": "WI",
"postal_code": "544033101",
"country_code": "US",
"telephone_number": "715-842-2028",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TRAVELING HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-13",
"last_updated": "2026-01-27",
"certification_date": "2026-01-27",
"status": "A",
"authorized_official_last_name": "HARTZELL MIDDENDORF",
"authorized_official_first_name": "AMANDA",
"authorized_official_middle_name": "MAE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-668-9118",
"authorized_official_credential": "ARNP"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caledonia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.