Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tracy Zimmerman-Deschepper, APRN

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1457753295

Tracy Zimmerman-Deschepper, APRN is a Nurse Practitioner in Grand Rapids, Minnesota. Qualified in 2014, 12 years ago. Practices with Modern Mojo, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

28 NW 4th St Ste A
Grand Rapids, MN 55744-2714
Phone: (218) 326-1274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence CNP3914 (MN)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 2014011459 (MN)

Record details

NPI number1457753295
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedSeptember 24, 2014
Last updated in NPPESMay 25, 2023
Certification dateMay 25, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Modern Mojo — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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