JENNI ANNE THARALDSON CNP
NPI 1457633760
Nurse Practitioner - Adult Health in Duluth, MN
About Jenni Anne Tharaldson Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNI ANNE THARALDSON CNP (NPI 1457633760) is an individual adult health provider in Duluth, Minnesota, licensed in Minnesota (R181016-3) and active in the NPI registry since September 2011. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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
Jenni Anne Tharaldson 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.
Medicare Billing Reassignments
4Medicare enrollment records show Jenni Tharaldson reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Duluth, MN 55805
- Reassigned Medicare billing, Minnesota enrollment
- 1,460 clinicians in this Medicare group
Duluth, MN 55805
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: St Marys Medical Center
- 179 clinicians in this Medicare group
Moose Lake, MN 55767
- Reassigned Medicare billing, Minnesota enrollment
- 213 clinicians in this Medicare group
Grand Rapids, MN 55744
- Reassigned Medicare billing, Minnesota enrollment
- 171 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 5
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Essentia Health St Mary's Medical Center
Acute Care Hospitals · Duluth, MNEssentia Health Duluth
Acute Care Hospitals · Duluth, MNEssentia Health Virginia
Acute Care Hospitals · Virginia, MNEssentia Health Moose Lake
Critical Access Hospitals · Moose Lake, MNSt Marys Hospital Superior
Critical Access Hospitals · Superior, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Jenni Tharaldson's NPI number?
The NPI number for Jenni Tharaldson is 1457633760. It was assigned to this individual provider in the NPPES registry on September 13, 2011.
Where is Jenni Tharaldson located?
Jenni Tharaldson practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.
What is Jenni Tharaldson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Jenni Tharaldson enrolled in Medicare?
Yes. Jenni Tharaldson 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 Jenni Tharaldson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenni Tharaldson reassigns Medicare benefits to 4 organizations: The Duluth Clinic, Ltd (Duluth, MN), St. Mary's Medical Center (Duluth, MN), Essentia Health Moose Lake (Moose Lake, MN) and Deer River Healthcare Center, Inc. (Grand Rapids, 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 Jenni Tharaldson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jenni Tharaldson accept?
Health plans from HealthPartners, Sanford Health Plan and Security Health Plan list Jenni Tharaldson 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 Jenni Tharaldson affiliated with any hospitals?
According to CMS data, Jenni Tharaldson is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, Essentia Health Virginia, Essentia Health Moose Lake and St Marys Hospital Superior.
When was this NPI record last updated?
The NPPES record for Jenni Tharaldson was last updated on September 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Jenni Anne Tharaldson, CNP · NPI 1457633760
Adult Health physician in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since September 13, 2011.
## Identity
- **NPI:** 1457633760 (Entity type: Individual)
- **Enumerated:** September 13, 2011
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** R181016-3 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 400 E 3RD ST, Duluth, MN 55805-1951
- **Phone:** (218) 786-8364
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): The Duluth Clinic, Ltd (NPI 1245278209, Duluth, MN); St. Mary's Medical Center (NPI 1013933936, Duluth, MN); Essentia Health Moose Lake (NPI 1154959880, Moose Lake, MN); Deer River Healthcare Center, Inc. (NPI 1093152423, Grand Rapids, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 13, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1457633760) · Data from the CMS NPPES public registry.