MR. MATTHEW ADAM NIERENGARTEN (APRN, CNP) – Critical Care Medicine Nurse Practitioner, NPI 1477317675

MR. MATTHEW ADAM NIERENGARTEN (APRN, CNP) is a healthcare provider. based in Duluth, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, CNP. They hold a License No. 11187 (MN). The NPI Number for MR. MATTHEW ADAM NIERENGARTEN (APRN, CNP) is 1477317675

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MR. MATTHEW ADAM NIERENGARTEN (APRN, CNP)
NPI
1477317675
Phone
(218) 786-8364
Address
400 E 3RD ST
Enumeration Date
8 February 2024
Last Update Date
8 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2187868364
Graduation Year
2023 (3 years ago)
PAC ID
4284076761
Group Practice PAC ID
2567374283
Professional Enrollment ID
I20240529003453
Address ID
MN558051951DU400XXSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for MR. MATTHEW ADAM NIERENGARTEN (APRN, CNP)

  • 400 E 3RD ST

    DULUTH, MN 558051951

    Phone: (218) 786-8364

    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: 2024-05-29

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
I20240529003453INurse 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 55805)

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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: 2567374283View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMT
-ND
Physician AssistantMN
Nurse PractitionerSD
-MN
Qualified AudiologistMN
-MN
-MN
P A T H O L O G YWV
Family PracticeMN

Reviews

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Frequently asked questions

What unique ID ties claims to MR. MATTHEW ADAM NIERENGARTEN (APRN, CNP)?
NPI 1477317675 is assigned to MR. MATTHEW ADAM NIERENGARTEN (APRN, CNP) under the national enumeration system.
Is MR. MATTHEW ADAM NIERENGARTEN (APRN, CNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MR. MATTHEW ADAM NIERENGARTEN (APRN, CNP) work in?
You can think of MR. MATTHEW ADAM NIERENGARTEN (APRN, CNP) as practicing within Critical Care Medicine Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MR. MATTHEW ADAM NIERENGARTEN (APRN, CNP)?
We surface Duluth, Minnesota for MR. MATTHEW ADAM NIERENGARTEN (APRN, CNP) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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