Recovery Telecare LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

RECOVERY TELECARE LLC

Practice address

724 Bielenberg Dr
Woodbury, MN 55125-2620

Phone

(651) 270-7870

NPI assigned

Jan 17, 2025

Organization subpart

No

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

Authorized official

Name

Melissa M. J. Baumgart, FNP, APRN-BCNPI 1205020005

Title

Ceo

Phone

(651) 270-7870

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa M. J. Baumgart, APRN-BC

  • Family Nurse Practitioner
  • Saint Paul, MN
  • NPI 1205020005

  Family, MN

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740528000000",
    "number": "1992516009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 BIELENBERG DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252620",
            "telephone_number": "651-270-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 BIELENBERG DR",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252620",
            "telephone_number": "651-270-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY TELECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A",
        "authorized_official_last_name": "BAUMGART",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "M. J.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "651-270-7870",
        "authorized_official_credential": "FNP, APRN-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.