DR. JUSTIN ROBERT WIRTH DNP, APRN, PMHNP-BC
NPI 1629687124
Nurse Practitioner - Psychiatric/Mental Health in Saint Cloud, MN

Q: What is Justin Wirth's NPI number?

The NPI number for Justin Wirth is 1629687124. It was assigned to this individual provider in the NPPES registry on July 30, 2020. The provider is also known as Dr. Justin Robert Wirth Dnp, Aprn, Pmhnp-Bc.

Q: What is Justin Wirth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Justin Wirth was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 30, 2020

4801 VETERANS DR # 111, SAINT CLOUD, MN 56303(320) 252-1670 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

On this page

About Dr. Justin Robert Wirth Dnp, Aprn, Pmhnp-bc NPPES

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

DR. JUSTIN ROBERT WIRTH DNP, APRN, PMHNP-BC (NPI 1629687124) is an individual psychiatric/mental health provider in Saint Cloud, Minnesota, licensed in Minnesota (7559) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1629687124

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameDR. JUSTIN ROBERT WIRTHCredential: DNP, APRN, PMHNP-BC

Location Address4801 VETERANS DR # 111Saint Cloud, MN 56303-2015

Mailing Address15953 47th St NwAnnandale, MN 55302-3902 · (320) 290-3895

Phone(320) 252-1670

Sole ProprietorNo

Enumeration DateJuly 30, 2020

NPPES CertifiedJuly 30, 2020

✔ NPI 1629687124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MN · 7559

4801 VETERANS DR # 111, Saint Cloud, MN 56303

Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Justin Robert Wirth Dnp, Aprn, Pmhnp-bc

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 Justin Wirth's NPI number?

The NPI number for Justin Wirth is 1629687124. It was assigned to this individual provider in the NPPES registry on July 30, 2020. The provider is also known as Dr. Justin Robert Wirth Dnp, Aprn, Pmhnp-Bc.

Where is Justin Wirth located?

Justin Wirth practices at 4801 Veterans Dr # 111, Saint Cloud, MN 56303. The listed phone number is (320) 252-1670.

What is Justin Wirth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Justin Wirth was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.