LORETTA MINOR CNP, AGNP
NPI 1750007985
Nurse Practitioner - Adult Health in Baldwin, WI
About Loretta Minor Cnp, Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LORETTA MINOR CNP, AGNP (NPI 1750007985) is an individual adult health provider in Baldwin, Wisconsin, licensed in Minnesota (9609) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Loretta Minor Cnp, Agnp 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
2Medicare enrollment records show Loretta Minor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baldwin, WI 54002
- Reassigned Medicare billing, Wisconsin enrollment
- 6 clinicians in this Medicare group
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 60 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Loretta Minor's NPI number?
The NPI number for Loretta Minor is 1750007985. It was assigned to this individual provider in the NPPES registry on October 19, 2022.
Where is Loretta Minor located?
Loretta Minor practices at 990 Main St Suite 1, Baldwin, WI 54002. The listed phone number is (715) 629-1888.
What is Loretta Minor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Loretta Minor enrolled in Medicare?
Yes. Loretta Minor 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 Loretta Minor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Loretta Minor reassigns Medicare benefits to 2 organizations: St. Croix Valley Shared Services, Inc. (Baldwin, WI) and Lifespark Medical Group, PA (St Louis Park, 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 Loretta Minor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Loretta Minor was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Loretta Minor, CNP, AGNP · NPI 1750007985
Adult Health physician in Baldwin, Wisconsin. Individual provider, active in the CMS NPPES registry since October 19, 2022.
## Identity
- **NPI:** 1750007985 (Entity type: Individual)
- **Enumerated:** October 19, 2022
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 9609 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 990 MAIN ST, SUITE 1, Baldwin, WI 54002
- **Phone:** (715) 629-1888
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): St. Croix Valley Shared Services, Inc. (NPI 1578774014, Baldwin, WI); Lifespark Medical Group, PA (NPI 1427551746, St Louis Park, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1750007985) · Data from the CMS NPPES public registry.