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EMERALD BRIDGE WELLNESS PLLC
NPI 1861233421
Nurse Practitioner - Psychiatric/Mental Health in Prior Lake, MN

Active since June 05, 2024
14033 COMMERCE AVE NE STE 300, PRIOR LAKE, MN 55372(512) 763-7086 Get Directions Write a Review

NPPES record last updated: March 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 2, 2025, Jun 5, 2024 (2 updates tracked since 2024).

About Emerald Bridge Wellness Pllc NPPES

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

EMERALD BRIDGE WELLNESS PLLC (NPI 1861233421) is a healthcare organization registered as a psychiatric/mental health in Prior Lake, Minnesota and active in the NPI registry since June 2024. The organization lists Al Berry, Manager, as its authorized official.

NPPES Registry Identity

NPI1861233421
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEMERALD BRIDGE WELLNESS PLLC
Location Address14033 COMMERCE AVE NE STE 300Prior Lake, MN 55372-1515
Mailing Address14033 Commerce Ave Ne Ste 300Prior Lake, MN 55372-1515 · (512) 763-7086
Phone(512) 763-7086
Organization SubpartNo
Authorized OfficialAl BerryManager · (469) 915-4211
Enumeration DateJune 5, 2024
Last NPPES UpdateMarch 2, 20252 updates tracked since enumeration
NPPES CertifiedMarch 2, 2025
✔ NPI 1861233421 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
14033 COMMERCE AVE NE STE 300, Prior Lake, MN 55372
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Emerald Bridge Wellness PLLC's NPI number?

The NPI number for Emerald Bridge Wellness PLLC is 1861233421. It was assigned to this organization in the NPPES registry on June 5, 2024.

Where is Emerald Bridge Wellness PLLC located?

Emerald Bridge Wellness PLLC is located at 14033 Commerce Ave NE Ste 300, Prior Lake, MN 55372. The listed phone number is (512) 763-7086.

What is Emerald Bridge Wellness PLLC'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 Emerald Bridge Wellness PLLC was last updated on March 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.