DR. PATRICIA SODERLUND (NURSE PRACTITIONER) – Mental Health Counselor, NPI 1083446876

DR. PATRICIA SODERLUND (NURSE PRACTITIONER) is a healthcare provider. based in Duluth, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 11409 (MN). The NPI Number for DR. PATRICIA SODERLUND (NURSE PRACTITIONER) is 1083446876

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. PATRICIA SODERLUND (NURSE PRACTITIONER)
NPI
1083446876
Phone
(949) 547-6510
Address
2531 E 4TH ST
Enumeration Date
19 August 2024
Last Update Date
19 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2183272001
Graduation Year
2016 (10 years ago)
PAC ID
0840723904
Group Practice PAC ID
9537432307
Professional Enrollment ID
I20241028002204
Address ID
MN557443800GR516XXAVEX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for DR. PATRICIA SODERLUND (NURSE PRACTITIONER)

  • 2531 E 4TH ST

    DULUTH, MN 558121435

    Phone: (949) 547-6510

    Type: Mailing

  • 600 E SUPERIOR ST STE 502

    DULUTH, MN 558022200

    Phone: (218) 663-2600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241028002204INurse PractitionerMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55812)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9537432307View full group profile
NameSpecialtyState
Nurse PractitionerMN
Mental Health CounselorMN
Mental Health CounselorMN
Nurse PractitionerAZ
Clinical Social WorkerTN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN
Clinical Social WorkerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

What NPI should I save for DR. PATRICIA SODERLUND (NURSE PRACTITIONER)?
Save NPI 1083446876 if you need a stable reference for DR. PATRICIA SODERLUND (NURSE PRACTITIONER).
Is DR. PATRICIA SODERLUND (NURSE PRACTITIONER) active in the national directory?
DR. PATRICIA SODERLUND (NURSE PRACTITIONER)'s public NPI profile is in an active state.
Can you summarize DR. PATRICIA SODERLUND (NURSE PRACTITIONER)'s specialty in plain language?
Clinically, the directory lists DR. PATRICIA SODERLUND (NURSE PRACTITIONER) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Does DR. PATRICIA SODERLUND (NURSE PRACTITIONER) practice in Minnesota?
You will see Duluth, Minnesota on file for DR. PATRICIA SODERLUND (NURSE PRACTITIONER) alongside any extra practice locations.
Is DR. PATRICIA SODERLUND (NURSE PRACTITIONER) a real provider?
This page reflects official NPPES data for NPI 1083446876. Always confirm identity and privileges with the practice and licensing boards.

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