Wyatt John Orth, DNP, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11917 Issued in MN

Practice address

7350 Clearwater Rd
Baxter, MN 56425-8463

Phone

(218) 454-5050

Fax

(218) 454-5052

NPI assigned

Aug 1, 2024

Last updated

Dec 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wyatt.orth.1@33336.direct.athenahealth.com

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.

• Aim-Axness Integrative Medicine, PLLC

  • General Practice Physician
  • Baxter, MN
  • NPI 1740708411

  Single Specialty

  Medicare reassignment NPD
• Axness Chiropractic PLLC

  dba Axness Chiropractic Massage and Wellness

  • Chiropractor
  • Baxter, MN
  • NPI 1013273416

  Single Specialty

  NPD

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1932938339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 4TH AVE S",
            "city": "SAUK RAPIDS",
            "state": "MN",
            "postal_code": "563791825",
            "telephone_number": "320-267-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 CLEARWATER RD",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258463",
            "telephone_number": "218-454-5050",
            "fax_number": "218-454-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTH",
        "first_name": "WYATT",
        "middle_name": "JOHN",
        "credential": "DNP, CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "11917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Olson
• Kiyrrae Olson
• Karen K Opp, NP
• Optum Behavioral Care of Colorado, P.C. (Northern Psychiatric Associates of Minnesota)
• Jamie Lynn Orser
• Sommer Ann Oslund, LICSW
• Jade Elizabeth Owen
• Kay Pahl
• Kimberly Nan Palkert, DPT
• Kelcie Jean Parrish

• Family Nurse Practitioner in Baxter, MN
• Providers in Baxter, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.