MICHELLE L CARL APRN,CNP
NPI 1316589591
Nurse Practitioner - Family in Hermantown, MN

Active since October 09, 2019PECOS EnrolledAccepts Medicare Assignment
4855 W ARROWHEAD RD, HERMANTOWN, MN 55811(218) 786-3540 Get Directions Write a Review

NPPES record last updated: October 9, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michelle L Carl Aprn,cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE L CARL APRN,CNP (NPI 1316589591) is an individual family provider in Hermantown, Minnesota, licensed in Minnesota (CNP6851) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Essentia Health Duluth, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1316589591
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE L CARLCredential: APRN,CNP
Location Address4855 W ARROWHEAD RDHermantown, MN 55811-3936
Mailing Address1702 University Dr SFargo, ND 58103-4940
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 9, 2019
✔ NPI 1316589591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · CNP6851
4855 W ARROWHEAD RD, Hermantown, MN 55811

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michelle L Carl Aprn,cnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365774940
PECOS Enrollment IDI20191031001150, I20240229002890
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Michelle Carl reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
4855 W ARROWHEAD RD
Hermantown, MN 55811
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,460 clinicians in this Medicare group
Emergency Care
407 E 3RD ST
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: St Marys Medical Center
  • 179 clinicians in this Medicare group
Multi-Specialty
1361 WENNER RD
Detroit Lakes, MN 56501
  • Reassigned Medicare billing, Minnesota and North Dakota enrollments
  • Also billed through NPI 1790965440 (North Dakota)
  • 87 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
104 services98 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240019
Location502 East Second StreetDuluth, MN 55805 · St. Louis County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55811 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4855 W ARROWHEAD RD
HERMANTOWN, MN 55811
Physician Assistant
4855 W ARROWHEAD RD
HERMANTOWN, MN 55811
Physician Assistant
4855 W ARROWHEAD RD
HERMANTOWN, MN 55811
Family Medicine
4855 W ARROWHEAD RD
HERMANTOWN, MN 55811
Family Medicine
4855 W ARROWHEAD RD
HERMANTOWN, MN 55811
Family Medicine
4855 W ARROWHEAD RD
HERMANTOWN, MN 55811
Social Worker (Clinical)
4855 W ARROWHEAD RD
HERMANTOWN, MN 55811
Clinic/Center (Multi-Specialty)
4855 W ARROWHEAD RD
HERMANTOWN, MN 55811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Carl's NPI number?

The NPI number for Michelle Carl is 1316589591. It was assigned to this individual provider in the NPPES registry on October 9, 2019.

Where is Michelle Carl located?

Michelle Carl practices at 4855 W Arrowhead Rd, Hermantown, MN 55811. The listed phone number is (218) 786-3540.

What is Michelle Carl's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Carl enrolled in Medicare?

Yes. Michelle Carl is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Michelle Carl's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Carl reassigns Medicare benefits to 3 organizations: The Duluth Clinic, Ltd (Hermantown, MN), St. Mary's Medical Center (Duluth, MN) and Innovis Health LLC (Detroit Lakes, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michelle Carl's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michelle Carl accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of North Dakota and HealthPartners list Michelle Carl as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michelle Carl affiliated with any hospitals?

According to CMS data, Michelle Carl is affiliated with Essentia Health Duluth.

When was this NPI record last updated?

The NPPES record for Michelle Carl was last updated on October 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.