Active NPI
Carly Jane Ritchie, MD
- Family Medicine Physician
- Cloquet, MN
National Provider Identifier
1992324594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 72488
- Practice address
- 417 Skyline Blvd
Cloquet, MN 55720-1164 - Phone
- (218) 879-1271
- NPI assigned
- Apr 14, 2020
- Sex
- Female
- 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 | 72488 | MN | Primary |
Addresses
Primary practice location
417 Skyline Blvd
Cloquet, MN 55720-1164
Mailing address
417 Skyline Blvd
Cloquet, MN 55720-1164
Phone (218) 879-1271
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
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
512 Skyline Blvd
Cloquet, MN 55720-3787
Phone (218) 879-4641
Hospital & facility affiliations
- Aveanna Home Health
- Centerwell Home Health
- Community Memorial Hospital
- St Lukes Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Memorial Hospital Association | Current | Accepting new patients |
Locations
417 Skyline Blvd
Cloquet, MN 55720
Phone (218) 879-1271
512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207
Interoperability endpoints
- carly.ritchie@rcll.eclinicaldirectplus.com
Organizations & group practices 1
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
- Cloquet, MN
- NPI 1003869082
Hospital & facility affiliations 29
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Duluth, MN
- NPI 1003848375
-
- Critical Access Hospital
- Cloquet, MN
- NPI 1003869082
-
- Home Health Agency
- Duluth, MN
- NPI 1639627391
-
- Endocrinology, Diabetes & Metabolism Physician
- Duluth, MN
- NPI 1093769796
Hospital
-
- Vascular & Interventional Radiology Physician
- Duluth, MN
- NPI 1124732110
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1992324594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 SKYLINE BLVD",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557201164",
"telephone_number": "218-879-1271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 SKYLINE BLVD",
"city": "CLOQUET",
"state": "MN",
"postal_code": "557201164",
"telephone_number": "218-879-1271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RITCHIE",
"first_name": "CARLY",
"middle_name": "JANE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-14",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "72488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cloquet, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.