JESSICA WIRTH (NPI# 1851774905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851774905 |
| Entity Type | Individual |
| Full Name | JESSICA WIRTH |
| Credential | APRN,CNP |
| Practice Address |
2400 St Francis Dr Breckenridge MN 56520-1025 |
| Practice Telephone | 2186430747 |
| Practice Fax Number | 2186430748 |
| Mailing Telephone | 2186430747 |
| Mailing Fax Number | 2186430748 |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2019-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R44952 | ND | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP 3968 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R-187957-3 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 1472569 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 Main St, Milnor, ND 580604001 | 7014275300 | 7014275323 |
| 705 Pleasant Ave S, Park Rapids, MN 564701440 | 2187322800 | 2187322857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083267066 | Jessica Kristin Wirth | Pharmacist | 1355 N Ferdon Blvd, Crestview, FL 32536-1713 | 2019-07-19 |
| 1932591245 | Jessica Marian Wirth | Physician Assistant | 300 Pasteur Dr, Stanford, CA 94305-2200 | 2015-02-23 |
| 1477635779 | Jessica Wirth | Occupational Therapist | 620 14th Ave Ne, Devils Lake, ND 58301-2808 | 2006-10-19 |
| Street Address |
2400 ST FRANCIS DR |
| City | BRECKENRIDGE |
| State | MN |
| Zip Code | 56520-1025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588600928 | Robert C Eelkema | Emergency Medicine | 2400 St Francis Dr, Breckenridge, MN 56520 | 2006-06-22 |
| 1306455431 | Laura Suggs | Nurse Practitioner | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2020-07-24 |
| 1417584178 | Sarah Lansing | Physical Therapist | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2020-03-24 |
| 1649745159 | Bridget Ann Richardson | Physical Therapist | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2018-10-11 |
| 1821532862 | Michael Brooks | Physical Therapist | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2016-12-09 |
| 1396109211 | Rhonda Carroll | Counselor | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2016-04-06 |
| 1871970855 | Corey Stump | Nurse Anesthetist, Certified Registered | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2015-04-29 |
| 1447690458 | Breanna Lynn Paulson | Nurse Practitioner | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2013-07-05 |
| 1316386527 | St. Francis Health Care | General Acute Care Hospital | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2013-06-20 |
| 1356616346 | Sara Faye Francois | Speech-Language Pathologist | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2012-03-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831311349 | Carrie Marie Voightman | Occupational Therapist | 1110 Hwy 75, Suite A, Breckenridge, MN 56520 | 2007-05-03 |
| 1063542371 | Jan E Ketterling | Psychologist | 2400 St Francis Drive, Hope Unit St Francis Medical Center, Breckenridge, MN 56520 | 2007-03-06 |
| 1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
| 1699859942 | Gerald Dale Brudvik | Dentist | 430 Oak St., Breckenridge, MN 56520 | 2006-10-24 |
| 1881794642 | Pamela Jean Thompson | Social Worker | 415 1/2 Nebraska Ave., Breckenridge, MN 56520 | 2006-09-22 |
| 1639162381 | St. Francis Medical Center | General Acute Care Hospital | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2005-08-29 |
| 1194158899 | Randi Jo Resler | Counselor | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2013-08-16 |
| 1194158006 | Jennifer L Schalekamp | Physical Therapist | 430 5th St N, Breckenridge, MN 56520 | 2013-08-14 |
| 1912220229 | Community Addiction Recovery Enterprises | Clinic/Center | 3850 200th Ave, Breckenridge, MN 56520 | 2010-03-02 |
| 1154521516 | Laurie Jo Ann Kessler | Counselor | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-07-23 |
| Find all providers in zip 56520 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093070344 | Medcare, LLC | Nurse Practitioner | 435 North Park Ave., Suite 2c, Breckenridge, CO 80424-7399 | 2012-07-11 |
| 1306455431 | Laura Suggs | Nurse Practitioner | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2020-07-24 |
| 1790329134 | Chelsea Michelle Dickson | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2019-10-29 |
| 1629447859 | Cortney Rachelle Berkley | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2015-09-17 |
| 1447690458 | Breanna Lynn Paulson | Nurse Practitioner | 2400 St Francis Dr, Breckenridge, MN 56520-1025 | 2013-07-05 |
| 1417293598 | Diana Lee Price | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424-4000 | 2012-12-18 |
| 1669637831 | Carol Lynn Copelin | Nurse Practitioner | 2802 W Walker St, Breckenridge, TX 76424 | 2008-07-27 |
| 1669648036 | Rebecca Lynn Mcintire | Nurse Practitioner | 101 S Hartford St, Breckenridge, TX 76424-4711 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466368 | Amalia Jo Folland Harvey | Nurse Practitioner | 19883 Evensong Ct, Farmington, MN 55024-8688 | 2020-10-29 |
| 1710586235 | Jackelyn Laura Peterson | Nurse Practitioner | 10101 Bren Rd E Unit 345, Minnetonka, MN 55343-0060 | 2020-10-26 |
| 1578162509 | Mckenzie Mcadaragh | Nurse Practitioner | 10924 Girard Curve, Bloomington, MN 55431 | 2020-10-21 |
| 1861091704 | Morgan Rohl | Nurse Practitioner | 117 12th Ave Nw Apt 2, Rochester, MN 55901-2787 | 2020-10-21 |
| 1063010304 | Kalie R Mccauley | Nurse Practitioner | 11452 Brook Rd Nw, Elk River, MN 55330-8739 | 2020-10-09 |
| 1659978930 | Sarah Jean Mudge | Nurse Practitioner | 350 Harbor Dr, Duluth, MN 55802-2600 | 2020-10-08 |
| 1285231621 | Karlu Dorleh | Nurse Practitioner | 14151 Territorial Rd Unit 212, Maple Grove, MN 55369-5725 | 2020-10-08 |
| 1447857669 | Kimberly Dawn Bursch-tewalt | Nurse Practitioner | 11884 237th Ave Nw, Elk River, MN 55330-8255 | 2020-10-01 |
| 1639786312 | Peter Wahl | Nurse Practitioner | 4652 Lyndale Ave S, Minneapolis, MN 55419-5302 | 2020-09-28 |
| 1568078616 | Joanna Kay Rehm | Nurse Practitioner | 3025 Eagandale Pl Apt 338, Eagan, MN 55121-1236 | 2020-09-23 |
| Find all providers with the same taxonomy | ||||
| City | BRECKENRIDGE |
| Zip Code | 56520 |
Please comment or provide details below to improve the information on JESSICA WIRTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.