Kristin Elisabeth Dearruda Wharton, APRN, FNP-C | |
513 5th Ave W, Grand Marais, MN 55604-3017 | |
(183) 872-3302 | |
Not Available |
Full Name | Kristin Elisabeth Dearruda Wharton |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 513 5th Ave W, Grand Marais, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245876614 | NPI | - | NPPES |
7075 | Other | MN | MINNESOTA BOARD OF NURSING- APRN LICENSE |
11185596 | Other | INTERNATIONAL BOARD OF LACTATION CONSULTANT EXAMINERS | |
16274 | Other | MN | MINNESOTA BOARD OF NURSING- PUBLIC HEALTH NURSE |
169220-0 | Other | MN | MINNESOTA BOARD OF NURSING |
F09191840 | Other | AMERICAN ACADEMY OF NURSE PRACTITIONERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 7075 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
North Shore Health | Grand marais, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Pine Medical Center | 3870406945 | 16 |
Sawtooth Mountain Clinic Inc | 8224940010 | 14 |
Entity Name | The Duluth Clinic Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
Entity Name | Pine Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326041633 PECOS PAC ID: 3870406945 Enrollment ID: O20031106000272 |
Entity Name | Northern Pines Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639278609 PECOS PAC ID: 3870565641 Enrollment ID: O20040811000988 |
Entity Name | Sawtooth Mountain Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306832894 PECOS PAC ID: 8224940010 Enrollment ID: O20041103000490 |
Entity Name | Essentia Health Moose Lake |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154959880 PECOS PAC ID: 6608290333 Enrollment ID: O20200730001548 |
Mailing Address | Practice Location Address |
---|---|
Kristin Elisabeth Dearruda Wharton, APRN, FNP-C 513 5th Ave W, Grand Marais, MN 55604-3017 Ph: (183) 872-3302 | Kristin Elisabeth Dearruda Wharton, APRN, FNP-C 513 5th Ave W, Grand Marais, MN 55604-3017 Ph: (183) 872-3302 |
Melissa Ann Brooks, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 5th Ave W, Grand Marais, MN 55604 Phone: 218-387-2330 Fax: 218-387-2330 |