GRETHE JUNE MORTENSON (CRNP) – Neonatal Nurse Practitioner, NPI 1205183415
Neonatal Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for GRETHE JUNE MORTENSON (CRNP)
2925 Chicago Ave
Minneapolis, MN 554071321
Phone: (612) 262-9000
Type: Location
9555 76TH STREET
MED STAFF OFFICE - MELISSA
PLEASANT PRAIRIE, WI 531581984
Phone: (262) 577-8005
Fax: (262) 577-8015
Type: Mailing
9555 76TH ST
PLEASANT PRAIRIE, WI 531581984
Phone: (262) 577-8005
Fax: (262) 577-8015
Type: Location
2074 S 6TH ST
KLAMATH FALLS, OR 97601
Phone: (541) 841-8110
Fax: (541) 885-5512
Type: Location
500 University Dr
Hershey, PA 170332360
Phone: (800) 243-1455
Type: Location
9555 76th St
Pleasant Prairie, WI 531581984
Phone: (262) 577-8005
Fax: (262) 577-8015
Type: Location
405 Stageline Rd
Hudson, WI 540167848
Phone: (715) 531-6000
Type: Location
351 SW 9th St
Ontario, OR 979142639
Phone: (541) 881-7184
Fax: (541) 881-7016
Type: Location
4800 Friendship Ave
Pittsburgh, PA 152241722
Phone: (412) 578-5858
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: 2024-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 16 Medicare enrollment records; no due dates published yet.
Enrollment records
16
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120925000524 | I | Nurse Practitioner | MN | TBD |
| I20190920000072 | I | Nurse Practitioner | WI | TBD |
| I20211006002847 | I | Nurse Practitioner | IL | TBD |
| I20220602003026 | I | Nurse Practitioner | LA | TBD |
| I20220720002975 | I | Nurse Practitioner | NC | TBD |
| I20230911002041 | I | Nurse Practitioner | NE | TBD |
| I20230914001754 | I | Nurse Practitioner | VA | TBD |
| I20230914002024 | I | Nurse Practitioner | FL | TBD |
| I20230918002353 | I | Nurse Practitioner | AZ | TBD |
| I20230918002699 | I | Nurse Practitioner | UT | TBD |
| I20230918003398 | I | Nurse Practitioner | OH | TBD |
| I20230918003857 | I | Nurse Practitioner | MT | TBD |
| I20230918004070 | I | Nurse Practitioner | PA | TBD |
| I20230919002328 | I | Nurse Practitioner | ME | TBD |
| I20240206001956 | I | Nurse Practitioner | OR | TBD |
| I20241216001686 | I | Nurse Practitioner | SC | TBD |
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.
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 55407)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AZ | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | MD | |
| Nurse Practitioner | NC | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | NH |
Reviews
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