Active NPI
Nick M. Taurinskas, M.D.
- Family Medicine Physician
- Sandstone, MN
National Provider Identifier
1992119291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 59588
- Practice address
- 204 Lundorff Dr
Sandstone, MN 55072-5051 - Phone
- (320) 245-2250
- Fax
- (320) 245-2555
- NPI assigned
- Jun 13, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 59588 | MN | Primary |
Addresses
Primary practice location
204 Lundorff Dr
Sandstone, MN 55072-5051
Mailing address
330 N 8TH Ave E
Duluth, MN 55805-2024
Phone (218) 723-1112
Other practice location 1
330 N 8th Ave E
Duluth, MN 55805-2024
Phone (218) 723-1112
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992119291 | Medicaid | MN | |
| 0001-0205551 | Other | MEDICA | |
| 1992119291 | Other | MN | BCBS |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 2016
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
824 N 11TH St
Montevideo, MN 56265-1629
Phone (320) 269-8877
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59588 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CCM Health | Current | Accepting new patients | |
| CCM Health | Current | Accepting new patients | |
| Luther Haven | Past | Accepting new patients | |
| CCM Health | Past | Accepting new patients |
Locations
824 N 11th St
Montevideo, MN 56265
Phone (320) 269-8877
Interoperability endpoints
- ntaurinskas482464@direct.centracare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Montevideo, MN
- NPI 1720086028
-
- Rural Health Clinic/Center
- Milan, MN
- NPI 1457132466
-
- Rural Health Clinic/Center
- Montevideo, MN
- NPI 1407636475
-
- Skilled Nursing Facility
- Montevideo, MN
- NPI 1184629925
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CentraCare Hospice
- Community Based Hospice Care Agency
- Willmar, MN
- NPI 1306359856
-
dba Chippewa County Montevideo Hospital Urgent Care
- Urgent Care Clinic/Center
- Montevideo, MN
- NPI 1275057978
Hospital
-
- Critical Access Hospital
- Montevideo, MN
- NPI 1720086028
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1992119291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 N 8TH AVE E",
"city": "DULUTH",
"state": "MN",
"postal_code": "558052024",
"telephone_number": "218-723-1112",
"fax_number": "218-529-9120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 LUNDORFF DR",
"city": "SANDSTONE",
"state": "MN",
"postal_code": "550725051",
"telephone_number": "320-245-2250",
"fax_number": "320-245-2555"
}
],
"practiceLocations": [
{
"address_1": "330 N 8th Ave E",
"address_purpose": "LOCATION",
"city": "Duluth",
"state": "MN",
"postal_code": "558052024",
"country_code": "US",
"telephone_number": "218-723-1112",
"fax_number": "218-529-9120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAURINSKAS",
"first_name": "NICK",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-13",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "59588",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992119291",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0001-0205551",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1992119291",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sandstone, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.