NORTHERN WATERS CLINIC
NPI 1316445455
Clinic/Center - Mental Health (Including Community Mental Health Center) in Hermantown, MN
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- Accepts Insurance
About NORTHERN WATERS CLINIC
This page provides the complete NPI Profile along with additional information for Northern Waters Clinic, a provider established in Hermantown, Minnesota operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1316445455 assigned on January 2018. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated one year ago. Northern Waters Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Melissa Ann Maki Np (Co-owner)
- NPI
- 1316445455 Verify this NPI
- Provider Name
- NORTHERN WATERS CLINIC
- Other Name Type
- (6)
- Entity Type
- Organization
- Location Address
- 4899 MILLER TRUNK HWY STE 208 HERMANTOWN, MN 55811
- Location Phone
- (218) 391-9860
- Location Fax
- (218) 391-9860
- Mailing Address
- 1702 MILLER TRUNK HWY STE 214 DULUTH, MN 55811
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-23-2018
- Last Update Date
- 12-04-2025
- Code Navigator
Location Map
Secondary Locations
- 1702 Miller Trunk Hwy Ste 214
Duluth, MN 55811
(218) 391-9860
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163WP0807X | Nursing Service Providers | Registered Nurse | 2318 (MN) |
| 2 | 163WP0808X | Nursing Service Providers | Registered Nurse | 2318 (MN) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,300 Gold - PPO
- Atlas $2,000 Standard Gold - PPO
- Atlas $3,050 Plus Silver - PPO
- Atlas $3,800 HSA Silver - PPO
- Atlas $6,000 Standard Silver - PPO
- Atlas $6,800 Plus Bronze HSA - PPO
- Atlas $7,500 Standard Bronze HSA - PPO
- Atlas $8,400 HSA Bronze - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1295014520 | MEDICAID (05) | MN |
Reviews for NORTHERN WATERS CLINIC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
HERMANTOWN, MN 55811
HERMANTOWN, MN 55811
HERMANTOWN, MN 55811
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316445455, enumerated as an "organization" on January 23, 2018.
The provider is located at 4899 MILLER TRUNK HWY STE 208 HERMANTOWN, MN 55811 and the phone number is (218) 391-9860.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: HealthPartners, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
