KRISTIN ELISABETH DEARRUDA WHARTON (APRN, FNP-C) – Family Nurse Practitioner, NPI 1245876614

KRISTIN ELISABETH DEARRUDA WHARTON (APRN, FNP-C) is a healthcare provider. based in Grand marais, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, FNP-C. They hold a License No. 7075 (MN). The NPI Number for KRISTIN ELISABETH DEARRUDA WHARTON (APRN, FNP-C) is 1245876614

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KRISTIN ELISABETH DEARRUDA WHARTON (APRN, FNP-C)
NPI
1245876614
Phone
(218) 370-8085
Address
PO BOX 1403
Enumeration Date
20 November 2019
Last Update Date
13 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2183872330
Graduation Year
2019 (7 years ago)
PAC ID
1355775693
Group Practice PAC ID
8224940010
Professional Enrollment ID
I20191219002610
Address ID
MN556043017GR513XXWXXX400

Contacts

Secure Messaging
him@slk.direct.slhduluth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

Provider Addresses for KRISTIN ELISABETH DEARRUDA WHARTON (APRN, FNP-C)

  • PO BOX 1403

    GRAND MARAIS, MN 556041403

    Phone: (218) 370-8085

    Type: Mailing

  • 915 E 1ST ST

    DULUTH, MN 558052107

    Phone: (218) 249-5555

    Type: Location

  • 915 E 1st St

    Duluth, MN 558052107

    Phone: (218) 249-5555

    Type: Location

  • 513 5TH AVE W

    GRAND MARAIS, MN 556043017

    Phone: (183) 872-3302

    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: 2019-12-19

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
I20191219002610INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4022$0
99239Hospital discharge day management, more than 30 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 55604)

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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: 8224940010View full group profile
NameSpecialtyState
-MN
Nurse PractitionerAK
Family PracticeMN
Family PracticeMN
Clinical Social WorkerMN
Family PracticeMN
Clinical Social WorkerMN
Family PracticeGA
Nurse PractitionerIA
Clinical Social WorkerMN

Reviews

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Frequently asked questions

Where can patients find KRISTIN ELISABETH DEARRUDA WHARTON (APRN, FNP-C)'s NPI?
You can confirm KRISTIN ELISABETH DEARRUDA WHARTON (APRN, FNP-C) with NPI 1245876614; it appears in the national provider directory.
Is KRISTIN ELISABETH DEARRUDA WHARTON (APRN, FNP-C) currently active in the NPI registry?
CMS-published data lists KRISTIN ELISABETH DEARRUDA WHARTON (APRN, FNP-C) as an active registrant.
What kind of provider is KRISTIN ELISABETH DEARRUDA WHARTON (APRN, FNP-C)?
The page reflects Family Nurse Practitioner for KRISTIN ELISABETH DEARRUDA WHARTON (APRN, FNP-C). Clinical services aligned with this taxonomy classification.
Where does public data place KRISTIN ELISABETH DEARRUDA WHARTON (APRN, FNP-C)?
The snapshot lists Grand Marais, Minnesota for KRISTIN ELISABETH DEARRUDA WHARTON (APRN, FNP-C); download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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