Individual provider Active NPI

Rachel Ellen Ridenour Herman, MS RN CNP

  • Critical Care Pediatric Nurse Practitioner
  • Inver Grove Heights, MN
National Provider Identifier
1992772107
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X
License
MN R 1297074 Issued in MN
Practice address
5975 Carmen Ave
Inver Grove Heights, MN 55076-4416
Phone
(651) 455-9697
Fax
(651) 455-2012
NPI assigned
Mar 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Pediatric Nurse Practitioner 363LP0222X MN R 1297074 MN Primary

Addresses

Primary practice location

5975 Carmen Ave
Inver Grove Heights, MN 55076-4416

Mailing address

618 19TH Ave SW
Rochester, MN 55902-0961
Phone (507) 281-4509

Other identifiers 6

IdentifierTypeStateIssuer
117512OtherMNU CARE
HP47638OtherMNHEALTHPARTNERS
1046021OtherMNPREFERRED ONE
12-03447OtherMNMEDICA
321P1HEOtherMNBLUE CROSS AND BLUE SHIEL
12-03446OtherMNMEDICA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VI
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
I20240926001355 VI Practitioner - Nurse Practitioner 0244295343 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
MN R 1297074MNMDCritical Care Pediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The St Thomas East End Medical Center Corporation CurrentSince Aug 6, 2024 Accepting new patients
Bluestem Center for Child and Family Development, P.a. PastSince Jan 29, 1996 Accepting new patients

Locations

4605 Tutu Park Mall
Ste 207
St Thomas, VI 00802
Phone (340) 775-3700

Organizations & group practices 2

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": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992772107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 19TH AVE SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559020961",
            "telephone_number": "507-281-4509",
            "fax_number": "507-281-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5975 CARMEN AVE",
            "city": "INVER GROVE HEIGHTS",
            "state": "MN",
            "postal_code": "550764416",
            "telephone_number": "651-455-9697",
            "fax_number": "651-455-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "RACHEL",
        "middle_name": "ELLEN RIDENOUR",
        "credential": "MS RN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "MN",
            "license": "MN R 1297074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "U CARE",
            "identifier": "117512",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP47638",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "1046021",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "12-03447",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIEL",
            "identifier": "321P1HE",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "12-03446",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Inver Grove Heights, MN

Sources for this page

Verify at the official NPI Registry.