Danielle Marie Carlin, CNP
Individual provider Active NPI Family Nurse Practitioner · Sandstone, MN
NPI 1962946509 · NPPES record last updated Sep 26, 2022
Key facts
- NPI
- 1962946509
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- CNP 4914 (MN)
- Practice address
- 501 Main St
Sandstone, MN 55072-4410 - Phone
- (320) 372-2323
- NPI assigned
- Dec 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Selah Wellness Clinic LLC
Practice addresses (Care Compare)
501 Main St
Sandstone, MN 55072-4410
Phone (320) 372-2323
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170302001909 | MN | Practitioner - Nurse Practitioner | 7911281308 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4914 | MN | MD | Orthopedic Physical Therapist |
| CNP 4914 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Selah Wellness Clinic LLC | Current |
Accepting new patients | |
| Selah Wellness Clinic LLC | Current |
Accepting new patients | |
| True Grace Clinic LTD | Current |
Accepting new patients | |
| Selah Wellness Center LLC | Current |
Accepting new patients | |
| Selah Wellness Clinic LLC | Nurse Practitioner | Past | Accepting new patients |
| Selah Wellness Clinic LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
1300 Northridge Ct NW
Ste 2
Pine City, MN 55063
Phone (320) 372-2312
263 W 4th St
Rush City, MN 55069
Phone (320) 358-3441
Interoperability endpoints
- https://api.platform.athenahealth.com/26347/brand/1/csg/1/fhir/r4
- danielle.carlin.1@26347.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 4914 | MN | |
| Family Nurse Practitioner | 363LF0000X | CNP 4914 | MN | Yes |
Addresses
Primary practice location
501 Main St
Sandstone, MN 55072-4410
Mailing address
PO Box 516
Sandstone, MN 55072-0516
Other practice location 1
707 Lundorff Dr Ste 1
Sandstone, MN 55072-5099
Phone (320) 245-2250
Other practice location 2
45 Lady Luck Drive
Hinckley, MN 55037-0309
Phone (320) 384-6618
Other practice location 3
4570 County Highway 61
Moose Lake, MN 55767
Phone (218) 485-4491
Other providers in Sandstone, MN
- Julie Lois Bjerke
- Lonny Bostrom
- Lauren Bradel-Warlick
- Keith Matthew Bubb
- Samantha Rose Burch
- Sheila Ann Carr
- Heidi Sue Cavagnetto
- James Cederstrom
- Sambath Cheath
- Tanya Rose Christopherson
All providers in Sandstone, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.