NPIMap

Individual provider Active NPI

Mary Margaret Braaten, MD

  • Family Medicine Physician
  • Deer River, MN
National Provider Identifier
1861568024
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
45933 Issued in MN
Practice address
1025 10TH Ave NE
Deer River, MN 56636-8703
Phone
(218) 246-8275
NPI assigned
Nov 28, 2006
Last updated
Dec 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 45933 MN Primary

Addresses

Primary practice location

1025 10TH Ave NE
Deer River, MN 56636-8703

Mailing address

3601 Greysolon Rd
Duluth, MN 55804-2033
Phone (218) 244-0386

Other practice location 1

2119 W 2nd St
Duluth, MN 55806-2038
Phone (651) 308-8122

Other identifiers 1

IdentifierTypeStateIssuer
874699100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000678 MN Practitioner - Family Practice 0345138533 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northwestern University Feinberg Medical School, 1994
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 E 3Rd St
Duluth, MN 55805-1951

400 E 3Rd St
Duluth, MN 55805-1983

421 N 6TH Ave E
MSS 6Av1 Pe
Duluth, MN 55805-1966

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Deer River Healthcare Center, Inc. CurrentSince Sep 1, 2003 Accepting new patients
Deer River Healthcare Center, Inc. CurrentSince Sep 1, 2003 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Apr 9, 2018 Accepting new patients
St Marys Medical Center CurrentSince Mar 1, 2020 Accepting new patients
Deer River Healthcare Center, Inc CurrentSince Apr 9, 2018 Accepting new patients
St. Mary's Medical Center CurrentSince Mar 1, 2020 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients

Locations

115 10th Ave NE
Deer River, MN 56636
Phone (218) 246-2900

115 10th Ave NE
#A
Deer River, MN 56636
Phone (218) 246-8275

330 N 8th Ave E
Duluth, MN 55805
Phone (218) 529-9122

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443

211 S Boundary Ave
Proctor, MN 55810
Phone (218) 624-4818

1232 Birch St N
Tower, MN 55790
Phone (218) 753-7788

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1861568024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 GREYSOLON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558042033",
            "telephone_number": "218-244-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 10TH AVE NE",
            "city": "DEER RIVER",
            "state": "MN",
            "postal_code": "566368703",
            "telephone_number": "218-246-8275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2119 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "MN",
            "postal_code": "558062038",
            "country_code": "US",
            "telephone_number": "651-308-8122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAATEN",
        "first_name": "MARY",
        "middle_name": "MARGARET",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "45933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "874699100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer River, MN

Sources for this page

Verify at the official NPI Registry.