Individual provider Active NPI

Carissa Arens, APRN, CNP

  • Family Nurse Practitioner
  • Staples, MN
National Provider Identifier
1962830026
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R-160051-9 Issued in MN
Practice address
49725 County 83
Staples, MN 56479-5280
Phone
(218) 894-1515
NPI assigned
Oct 28, 2013
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R-160051-9 MN Primary
Family Nurse Practitioner 363LF0000X 1821 MN

Addresses

Primary practice location

49725 County 83
Staples, MN 56479-5280

Mailing address

13397 Thomas Dr
Little Falls, MN 56345-6110
Phone (320) 249-2458

Other practice location 1

13397 Thomas Dr
Little Falls, MN 56345-6110
Phone (320) 249-2458

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20131209000859 MN Practitioner - Nurse Practitioner 9537396072 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakewood Health SystemGroup PAC ID 1052229671, shared by 15 NPIs, 107 clinicians

Practice addresses (Care Compare)

49725 County
Suite 83
Staples, MN 56479-5280
Phone (218) 894-1515

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1821MNMDAthletic Trainer
R-160051-9MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Hospital of Duluth CurrentSince Jul 12, 2022 Accepting new patients
Welia Health CurrentSince Mar 6, 2023 Accepting new patients
Lakewood Health System CurrentSince Jul 5, 2023 Accepting new patients
St. Luke's Hospital of Duluth CurrentSince Jul 12, 2022 Accepting new patients
Lakewood Health System CurrentSince Jan 7, 2026 Accepting new patients
Lakewood Health System CurrentSince Jul 5, 2023 Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Jun 15, 2022 Accepting new patients
Welia Health Current Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
Lakewood Health System Current Accepting new patients
St. Luke's Hospital of Duluth Current Accepting new patients
Aitkin Community Hospital, Inc. CurrentSince Jun 15, 2022 Accepting new patients
Welia Health CurrentSince Mar 6, 2023 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

200 Bunker Hill Dr
Aitkin, MN 56431
Phone (218) 927-2121

1015 E 1st St
Duluth, MN 55805
Phone (218) 249-7860

1120 E 34th St
Hibbing, MN 55746
Phone (218) 263-7455

301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317

49725 County 83
Staples, MN 56479
Phone (218) 894-1033

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: carens650663@direct.ochin.org
  • Direct secure messaging: carissa.arens.areca@slk.direct.slhduluth.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1382918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1962830026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13397 THOMAS DR",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563456110",
            "telephone_number": "320-249-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49725 COUNTY 83",
            "city": "STAPLES",
            "state": "MN",
            "postal_code": "564795280",
            "telephone_number": "218-894-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13397 Thomas Dr",
            "address_purpose": "LOCATION",
            "city": "Little Falls",
            "state": "MN",
            "postal_code": "563456110",
            "country_code": "US",
            "telephone_number": "320-249-2458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARENS",
        "first_name": "CARISSA",
        "credential": "APRN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-28",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R-160051-9",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "1821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staples, MN

Sources for this page

Verify at the official NPI Registry.