Theresa Rose Bly, APRN, CNP
NPI 1760460836ActiveIndividual· Nurse Practitioner, Family· Marshall, MN
Nurse Practitioner, Family (APRN, CNP) with Park Nicollet Clinic, practicing in Marshall, Minnesota. Part D covered 251 prescriptions written in 2024, 93% of them generic.
Overview
| NPI | 1760460836 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, CNP |
| Sole proprietor | No |
| NPI issued | Jan 9, 2006 |
| Last updated in NPPES | Mar 9, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 0742 | MN |
| Registered Nurse | 163W00000X | R 088633 4 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MN) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 251 · 257 30-day fills |
|---|---|
| Patients | 212 |
| Total drug cost | $2,295 |
| Generic share | 93% of claims |
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Park Nicollet ClinicSt Louis Park, MN · 1,787 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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