Healthcare Provider Details

I. General information

NPI: 1396268348
Provider Name (Legal Business Name): RACHEL JOY BEUKEMA DNP, CNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2017
Last Update Date: 08/12/2025
Certification Date: 08/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3015 ALLEGRO PARK LN SW UNIT C
ROCHESTER MN
55902-4139
US

IV. Provider business mailing address

3015 ALLEGRO PARK LN SW UNIT C
ROCHESTER MN
55902-4139
US

V. Phone/Fax

Practice location:
  • Phone: 507-405-0543
  • Fax: 507-607-8787
Mailing address:
  • Phone: 507-405-0543
  • Fax: 507-607-8787

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5290
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: