Individual provider Active NPI

Anthony Kramer

  • Psychiatric/Mental Health Nurse Practitioner
  • Bemidji, MN
National Provider Identifier
1972997831
Registry record updated Jul 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7493 Issued in MN
Practice address
1526 30TH St NW
Bemidji, MN 56601-4140
Phone
(218) 751-0887
NPI assigned
Mar 27, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7493 MN Primary

Addresses

Primary practice location

1526 30TH St NW
Bemidji, MN 56601-4140

Mailing address

1526 30TH St NW
Bemidji, MN 56601-4140
Phone (218) 751-0887

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
I20200909000262 MN Practitioner - Certified Clinical Nurse Specialist (CNS) 0648502146 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Support Systems IncGroup PAC ID 3678507878, 2 clinicians

Practice addresses (Care Compare)

1526 30TH St NW
Bemidji, MN 56601-4140
Phone (218) 751-0887

2014 7TH St SE
Bemidji, MN 56601-5051
Phone 2184446748109

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifecare Medical Center CurrentSince Jan 24, 2026 Accepting new patients
Lifecare Medical Center CurrentSince Jan 24, 2026 Accepting new patients
Northstar Mind Mechanix LLC Psychiatric/Mental Health CurrentSince Sep 1, 2020 Accepting new patients
Community Support Systems, Inc. CurrentSince Aug 27, 2023 Accepting new patients
Community Support Systems, Inc. CurrentSince Aug 27, 2023 Accepting new patients

Locations

2014 7th St SE
Bemidji, MN 56601
Phone (218) 444-6748

1526 30th St NW
Bemidji, MN 56601
Phone (218) 751-0887

Organizations & group practices 5

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 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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594080000000",
    "number": "1972997831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1526 30TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014140",
            "telephone_number": "218-751-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1526 30TH ST NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566014140",
            "telephone_number": "218-751-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "ANTHONY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-27",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "7493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bemidji, MN

Sources for this page

Verify at the official NPI Registry.