| 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 | 6 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 |
|---|---|---|
| Sawtooth Mountain Clinic Inc | 8224940010 | 13 |
| 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 |