Jaimee Ann Kudrle, CNP, APRN, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10771 Issued in MN

Practice address

121 Drew Ave SE
Madelia, MN 56062-1841

Phone

(507) 642-3255

NPI assigned

Oct 11, 2023

Last updated

Oct 11, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Madelia HealthGroup PAC ID 1254230816, 19 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Madelia Health Hospital, Madelia, MN, CCN 241323

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Madelia Health

  dba Madelia Community Hospital & Clinic

  • Critical Access Hospital
  • Madelia, MN
  • NPI 1912999137
  Medicare reassignment Care Compare group NPD
• Clear Path Psychiatry PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Eagle Lake, MN
  • NPI 1821888264
  Medicare reassignment NPD
• Madelia Health

  dba Madelia Community Hospital & Clinic

  • Critical Access Hospital
  • Madelia, MN
  • NPI 1639243272
  NPD (past)

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

• Madelia Health

  dba Madelia Community Hospital & Clinic

  • Critical Access Hospital
  • Madelia, MN
  • NPI 1912999137
  Care Compare affiliation

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1891576260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 DREW AVE SE",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621841",
            "telephone_number": "507-642-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DREW AVE SE",
            "city": "MADELIA",
            "state": "MN",
            "postal_code": "560621841",
            "telephone_number": "507-642-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDRLE",
        "first_name": "JAIMEE",
        "middle_name": "ANN",
        "credential": "CNP, APRN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "10771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Anne Hoffman, P.T.
• Cherry Jeske, R.PH.
• Teresa Evelyn Johnson, DDS, MS, MPH, FASGD
• Scott Michael Kirchner, D.C.
• Nikolai Bernhard Krahn, PMHNP-BC
• Jinette Gappa Lais, APRN, CNP, DNP
• Mary Lehman, PHARMD
• Patrice A Luker, LMFT
• Luther Memorial Home
• Madelia Health

• Psychiatric/Mental Health Nurse Practitioner in Madelia, MN
• Providers in Madelia, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.