SUSAN L RETTKE ANP
NPI 1811959786
Nurse Practitioner in Bloomington, MN

Q: What is Susan Rettke's NPI number?

The NPI number for Susan Rettke is 1811959786. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Q: What is Susan Rettke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Susan Rettke was last updated on November 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 April 05, 2006

8170 33RD AVE S, MC21110Q, BLOOMINGTON, MN 55425(952) 883-6805(952) 883-6117 Get Directions Write a Review

NPPES record last updated: November 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Susan L Rettke Anp NPPES

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

SUSAN L RETTKE ANP (NPI 1811959786) is an individual nurse practitioner in Bloomington, Minnesota, licensed in Minnesota (0612045) and active in the NPI registry since April 2006.

NPPES Registry Identity

NPI1811959786

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSUSAN L RETTKECredential: ANP

Location Address8170 33RD AVE S, MC21110QBloomington, MN 55425-4516

Mailing Address8170 33rd Ave S, Mc21110qBloomington, MN 55425-4516 · (952) 883-6805 · Fax (952) 883-6117

Phone(952) 883-6805

Fax(952) 883-6117

Sole ProprietorNo

Enumeration DateApril 5, 2006

Last NPPES UpdateNovember 17, 2008

✔ NPI 1811959786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MN · 0612045

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

8170 33RD AVE S, Bloomington, MN 55425

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Other Identifiers 3

Medicare UPINS42241

Medicare ID-Type Unspecified500000508

Medicaid179324100MN

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.

GROUP HEALTH PLAN INC

Clinic/Center (Multi-Specialty)

8170 33RD AVE S, MS 21110Q
MINNEAPOLIS, MN 55425

Hennepin County (952) 883-7469

DR. AIYZAH MANSUR JAVAID DDS

Student in an Organized Health Care Education/Training Program

8170 33RD AVE S
BLOOMINGTON, MN 55425

Hennepin County (952) 541-2802

JEROME C SIY MD

Internal Medicine

8170 33RD AVE S, MC21110Q
BLOOMINGTON, MN 55425

Hennepin County (651) 254-9594

MS. RACHEL NICOLE WARREN APRN, CNP

Nurse Practitioner

8170 33RD AVE S
BLOOMINGTON, MN 55425

Hennepin County (952) 883-7029

MICHAL BUDZIAKOWSKI

Student in an Organized Health Care Education/Training Program

8170 33RD AVE S
BLOOMINGTON, MN 55425

Hennepin County (952) 541-2902

DR. LEANN C MCDOWELL PHARM.D.

Pharmacist

8170 33RD AVE S
BLOOMINGTON, MN 55425

Hennepin County (952) 967-6952

DR. YOUSSEF ROMAN PHARM.D., PH.D.

Pharmacist

8170 33RD AVE S
BLOOMINGTON, MN 55425

Hennepin County (952) 883-6000

GROUP HEALTH PLAN INC

Non-Pharmacy Dispensing Site

8170 33RD AVE S, MAILSTOP 21111B
MINNEAPOLIS, MN 55425

Hennepin County (952) 883-7469

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 Susan Rettke's NPI number?

The NPI number for Susan Rettke is 1811959786. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Susan Rettke located?

Susan Rettke practices at 8170 33rd Ave S Mc21110q, Bloomington, MN 55425. The listed phone number is (952) 883-6805.

What is Susan Rettke's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Susan Rettke was last updated on November 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.