NATHANIEL KEITH RONNING (MD) – Emergency Medicine Physician, NPI 1093941858

NATHANIEL KEITH RONNING (MD) is a healthcare provider. based in Detroit lakes, Minnesota. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. ME113927 (FL). The NPI Number for NATHANIEL KEITH RONNING (MD) is 1093941858

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
NATHANIEL KEITH RONNING (MD)
NPI
1093941858
Phone
(218) 847-5611
Address
1027 WASHINGTON AVE
Enumeration Date
8 June 2009
Last Update Date
5 March 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2186317495
Graduation Year
2009 (17 years ago)
PAC ID
7810144797
Group Practice PAC ID
2961395272
Professional Enrollment ID
I20130221000261
Address ID
MN564821264WA415XXNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,172 EMERGENCY MEDICINE in MN

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Provider Addresses for NATHANIEL KEITH RONNING (MD)

  • Essentia Health Saint Mary's - Detroit Lakes, 1027, Washington Avenue, Detroit Lakes, Becker County, Minnesota, 56501, United States

    DETROIT LAKES, MN 565013409

    Phone: (218) 847-5611

    Fax: (218) 847-0881

    Mailing address matches the actual address.

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: 2013-02-21

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
I20130221000261IEmergency MedicineMNTBD

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 56501)

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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: 2961395272View full group profile
NameSpecialtyState
Diagnostic RadiologyMN
-MN
Clinical Social WorkerMN
-MN
U R O L O G YMA
Emergency MedicineMN
-MN
Nurse PractitionerMN
Nurse PractitionerMN
Family PracticeMN

Reviews

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Frequently asked questions

What identifier follows NATHANIEL KEITH RONNING (MD) across health systems?
The NPI 1093941858 uniquely identifies NATHANIEL KEITH RONNING (MD) in U.S. healthcare data.
Is NATHANIEL KEITH RONNING (MD) currently accepting referrals based on NPI status?
Registry metadata lists NATHANIEL KEITH RONNING (MD) as active.
What does the directory say NATHANIEL KEITH RONNING (MD) does?
Insurance directories may phrase it differently, but here NATHANIEL KEITH RONNING (MD) maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to NATHANIEL KEITH RONNING (MD)?
The directory associates NATHANIEL KEITH RONNING (MD) with Detroit Lakes, Minnesota. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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