Individual provider Active NPI

Joseph Samuel Owen, APRN, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brainerd, MN
National Provider Identifier
1992349153
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7945 Issued in MN
Practice address
11615 State Ave
Brainerd, MN 56401-7306
Phone
(218) 855-8767
NPI assigned
Oct 31, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 2178419 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7945 MN Primary

Addresses

Primary practice location

11615 State Ave
Brainerd, MN 56401-7306

Mailing address

11615 State Ave
Brainerd, MN 56401-7306
Phone (218) 855-8767

Other practice location 1

1010 Maryland Ln
Fergus Falls, MN 56537-7530
Phone (218) 736-1800

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
I20210211000082 MN Practitioner - Nurse Practitioner 4082029731 Reassigns benefits to 8 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2178419MNMDRegistered Nurse
7945MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Behavioral Health Hospital Bemidji CurrentSince May 1, 2025 Accepting new patients
Community Behavioral Health Hospital-Rochester CurrentSince May 1, 2025 Accepting new patients
Child and Adolescent Behavioral Health Services CurrentSince May 1, 2025 Accepting new patients
Anoka Metro Regional Treatment Center CurrentSince May 1, 2025 Accepting new patients
Community Behavioral Health Hospital Annandale CurrentSince May 1, 2025 Accepting new patients
Community Behavioral Health Hospital Alexandria CurrentSince May 1, 2025 Accepting new patients
Community Behavioral Health Hospital-Baxter CurrentSince May 1, 2025 Accepting new patients
Community Behavioral Health Hospital-Fergus Falls CurrentSince May 1, 2025 Accepting new patients
Community Addiction Recovery Enterprise Fergus Falls Past Accepting new patients

Locations

1610 8th Ave E
Alexandria, MN 56308
Phone (320) 335-6201

3301 7th Ave
Anoka, MN 55303
Phone (651) 431-5000

14241 Grand Oaks Dr
Baxter, MN 56425
Phone (218) 316-3101

800 Bemidji Ave N
Bemidji, MN 56601
Phone (218) 209-5952

251 Woodlake Dr SE
Rochester, MN 55904
Phone (507) 206-2561

3200 Labore Rd
Ste 104
Vadnais Heights, MN 55110
Phone (612) 387-9243

2301 Transportation Rd
Willmar, MN 56201
Phone (320) 441-0120

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1992349153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 STATE AVE",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564017306",
            "telephone_number": "218-855-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11615 STATE AVE",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564017306",
            "telephone_number": "218-855-8767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Maryland Ln",
            "address_purpose": "LOCATION",
            "city": "Fergus Falls",
            "state": "MN",
            "postal_code": "565377530",
            "country_code": "US",
            "telephone_number": "218-736-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWEN",
        "first_name": "JOSEPH",
        "middle_name": "SAMUEL",
        "name_prefix": "Mr.",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-31",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "2178419",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "7945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brainerd, MN

Sources for this page

Verify at the official NPI Registry.