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Miriam Elaine Tell, APRN, CNP

Accepting New Patients

(No ratings)

Specializes in: Counseling and Psychiatry
Professional interests include: anxiety, personality disorders, borderline personality disorder (BPD), and more.
121 Central Street W
Bagley, MN 56621

Miriam Elaine Tell, APRN, CNP is a counselor in Bagley, MN specializing in counseling and psychiatry. Miriam Elaine Tell, APRN, CNP is affiliated with Essentia Health and FIRST CARE MEDICAL SERVICES.

View Provider's Full Profile (218) 694-6281

Office Locations

121 Central Street W
Bagley, MN 56621
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900 Hilligoss Boulevard SE SUITE 200
Fosston, MN 56542
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Some issues Miriam Elaine Tell, APRN, CNP can help you with:

Anxiety

Anxiety is a generic name given to a variety of conditions characterized by unusual amounts of fear and worry, especially unrealistic fears and tension. People who suffer from anxiety often are aware that their fears are irrational, but that knowledge does not make the feeling of being scared and anxious go away. To qualify as anxiety, symptoms must last for 6 months or more and interfere with the way a person lives their daily life. Some cases may be mild, where, for example, a person simply avoids certain situations. Other cases can be severe enough to be disabling.

Some of the specific conditions covered under the general label of anxiety include:

  • Generalized anxiety disorder
  • Obsessive-compulsive disorder
  • Phobias
  • Post-traumatic stress disorder
  • Social phobia
  • Panic disorder

Collectively, anxiety disorders are the most common mental health issues diagnosed in the United States -- even more common than depression. Women are more likely than men to be diagnosed with anxiety, and it is extremely common for a person with anxiety to have another illness at the same time, such as depression, a physical illness, or substance abuse.

Treatment for anxiety usually involves medication and psychotherapy together. Medications used may include antidepressants (which also work for anxiety), anti-anxiety medications, or beta blockers (which can be used to control the physical symptoms of anxiety). Psychotherapy can be useful to teach patients new ways of thinking and reacting so that they can manage their feelings of worry and fear. Support groups can also be very effective for anxiety, and they can be a form of treatment themselves for social phobias. Stress management, relaxation techniques, and meditation all help reduce feelings of anxiety or of being out of control. Finally, having a strong support network of family and friends is an excellent way to help manage the difficulties of life with anxiety.

Attention Deficit Disorder (ADD/ADHD)

Attention Deficit Hyperactivity Disorder, or ADHD, is one of the most common disorders diagnosed in children. Nine percent of children in the USA have been diagnosed with ADHD. Symptoms, which include hyperactivity and difficulty maintaining focus or paying attention, can last into adulthood for some patients. Boys are four times as likely to be diagnosed as girls, although experts don't know why this is.

There are three main types of ADHD:

  • Predominantly hyperactive-impulsive types show symptoms such as constant fidgeting, talking non-stop, touching everything, having trouble sitting still and waiting their turn, and interrupting others.
  • Predominantly inattentive types tend to be distracted, get bored and wander off during tasks, forget things or instructions, daydream, and appear not to be listening. This type is sometimes misdiagnosed because they are not hyperactive and there are fewer behavior issues.
  • Combined types show symptoms from both categories. This is actually the most common type of ADHD.

When diagnosing ADHD, it is important to rule out other issues that may be causing the symptoms. Seizure disorders, hearing loss, anxiety, and domestic problems are some examples of problems that can cause behaviors similar to those seen with ADHD.

Treatment can include stimulant medications, behavioral therapy to teach patients ways to navigate their world and control symptoms better, and accommodations at school or work. A structured environment (with lots of organization and well-defined rules) seems to help most kids with ADHD function at their best.

ADHD is mainly thought of as a disorder that affects children, but symptoms can last into adulthood for a third to half of those diagnosed. In adults, ADHD has similar symptoms as when it is seen in children: impulsive behavior, difficulty maintaining focus, being easily distracted, or a tendency to fidget. These symptoms can cause problems in a patient's careers and relationships. Additionally, adults with ADHD are at increased risk for substance abuse. Medications can be an important part of treatment for adults, as well as stress reduction techniques and organization skills training. Specialized ADHD coaches can help adults with ADHD manage their symptoms and succeed in all areas of their life.

Depression

Everyone knows what it feels like to get the blues once in a while. But depression is a serious illness that is more severe than a bad day and lasts much longer. Symptoms of depression stop a person from being able to function and enjoy daily activities for weeks or months at a time. It can happen to anyone, and it isn't something that people can control by force of will or "snap out of it."

Some common symptoms of depression include:

  • Feeling sad, guilty, empty or hopeless
  • Fatigue and a lack of energy and motivation
  • A loss of pleasure in activities that were previously enjoyed
  • Unusual sleep or eating habits
  • Mental fog -- trouble concentrating, remembering, or making decisions
  • Physical aches and pains
  • Suicidal thoughts or a preoccupation with death

We don't yet know what causes depression, but it's thought that it is a combination of genetic, biological, environmental, and social influences. Because of this, the most effective treatments for depression combine medication with psychotherapy. Therapy, especially cognitive-behavioral therapy, can be extremely helpful in resolving the negative thoughts and feelings that come with depression. It gives patients new tools that they can use themselves to cope when their depression is making them feel down.

Some of the common medications used to treat depression include antidepressants such as SSRI's (Prozac, Paxil, Zoloft) or atypical antidepressants (Cymbalta, Wellbutrin). It's important to remember that these medications have different effects on everybody, and no one medication works right for everyone. Patients may have to try a couple before finding the one that works just right for them. If the first medication they try doesn't work, they should talk to their doctor about trying something else. In extreme cases where medication is not enough, electro-convulsive therapy and hospitalization may be the answer to keeping a severely depressed person safe.

Depression is a difficult illness to deal with, but it is more common than believed and there are many people who can help. With the right treatment, individuals with depression can get back to fully enjoying life again.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Miriam Elaine Tell, APRN, CNP treated as a counselor in Bagley, MN during 2012 were hospital care, inpatient care, mental health therapy and medication management.

Volume of procedures performed by Miriam Elaine Tell, APRN, CNP for Medicare patients.

hospital care 180
inpatient care 180
medication management 16
mental health therapy 63

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Miriam Elaine Tell, APRN, CNP treated as a counselor in Bagley, MN during 2013 were hospital care and inpatient care.

Volume of procedures performed by Miriam Elaine Tell, APRN, CNP for Medicare patients.

doctor visit 108
hospital care 286
inpatient care 286

2013 Medicare Patient Data

Information about Medicare patients treated by Miriam Elaine Tell, APRN, CNP.

Gender
Male 55
Female 61
Age
From 65 to 74 26
From 75 to 84 23
85 and over 35
Less than 65 32

Conditions of Medicare patients treated by Miriam Elaine Tell, APRN, CNP in 2013

Hypertension 63
High Cholesterol 50
Stroke 0
Ischemic Heart Disease 34
Depression 75
Chronic Kidney Disease 30
Asthma 0
Osteoperosis 11
Atrial Fibrilation 13
Heart Failure 21
Chronic Obstructive Pulmonary Disease 10
Diabetes 35
Dementia 68
Cancer 14

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Miriam Elaine Tell, APRN, CNP treated as a counselor in Bagley, MN during 2014 were hospital care and inpatient care.

Volume of procedures performed by Miriam Elaine Tell, APRN, CNP for Medicare patients.

doctor visit 252
hospital care 292
inpatient care 292

2014 Medicare Patient Data

Information about Medicare patients treated by Miriam Elaine Tell, APRN, CNP.

Gender
Male 90
Female 95
Ethnicity
Non-Hispanic White 160
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 38
From 75 to 84 27
85 and over 29
Less than 65 91

Conditions of Medicare patients treated by Miriam Elaine Tell, APRN, CNP in 2014

Hypertension 50
High Cholesterol 42
Stroke 6
Ischemic Heart Disease 26
Depression 72
Chronic Kidney Disease 21
Asthma 10
Osteoperosis 10
Atrial Fibrilation 7
Heart Failure 16
Chronic Obstructive Pulmonary Disease 14
Diabetes 29
Dementia 46
Cancer 8

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Miriam Elaine Tell, APRN, CNP treated as a counselor in Bagley, MN during 2015 were hospital care and inpatient care.

Volume of procedures performed by Miriam Elaine Tell, APRN, CNP for Medicare patients.

doctor visit 223
hospital care 250
inpatient care 250

2015 Medicare Patient Data

Information about Medicare patients treated by Miriam Elaine Tell, APRN, CNP.

Gender
Male 152
Female 170
Ethnicity
Non-Hispanic White 284
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 70
From 75 to 84 46
85 and over 44
Less than 65 162

Conditions of Medicare patients treated by Miriam Elaine Tell, APRN, CNP in 2015

Hypertension 50
High Cholesterol 39
Stroke 0
Ischemic Heart Disease 20
Depression 73
Chronic Kidney Disease 20
Asthma 19
Osteoperosis 9
Atrial Fibrilation 0
Heart Failure 13
Chronic Obstructive Pulmonary Disease 12
Diabetes 26
Dementia 45
Cancer 7

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Miriam Elaine Tell, APRN, CNP treated as a counselor in Bagley, MN during 2016 were hospital care and inpatient care.

Volume of procedures performed by Miriam Elaine Tell, APRN, CNP for Medicare patients.

doctor visit 155
hospital care 525
inpatient care 525

2016 Medicare Patient Data

Information about Medicare patients treated by Miriam Elaine Tell, APRN, CNP.

Gender
Male 69
Female 100
Ethnicity
Non-Hispanic White 147
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 35
From 75 to 84 31
85 and over 34
Less than 65 69

Conditions of Medicare patients treated by Miriam Elaine Tell, APRN, CNP in 2016

Hypertension 55
High Cholesterol 44
Stroke 0
Ischemic Heart Disease 30
Depression 68
Chronic Kidney Disease 24
Asthma 18
Osteoperosis 12
Atrial Fibrilation 7
Heart Failure 14
Chronic Obstructive Pulmonary Disease 14
Diabetes 22
Dementia 51
Cancer 0

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Miriam Elaine Tell, APRN, CNP treated as a counselor in Bagley, MN during 2017 were hospital care and inpatient care.

Volume of procedures performed by Miriam Elaine Tell, APRN, CNP for Medicare patients.

doctor visit 150
hospital care 411
inpatient care 411

2017 Medicare Patient Data

Information about Medicare patients treated by Miriam Elaine Tell, APRN, CNP.

Gender
Male 65
Female 91
Ethnicity
Non-Hispanic White 137
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 36
From 75 to 84 22
85 and over 24
Less than 65 74

Conditions of Medicare patients treated by Miriam Elaine Tell, APRN, CNP in 2017

Hypertension 48
High Cholesterol 29
Stroke 0
Ischemic Heart Disease 25
Depression 65
Chronic Kidney Disease 26
Asthma 8
Osteoperosis 12
Atrial Fibrilation 0
Heart Failure 11
Chronic Obstructive Pulmonary Disease 14
Diabetes 28
Dementia 44
Cancer 10

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Miriam Elaine Tell, APRN, CNP treated as a counselor in Bagley, MN during 2018 were hospital care and inpatient care.

Volume of procedures performed by Miriam Elaine Tell, APRN, CNP for Medicare patients.

doctor visit 108
hospital care 308
inpatient care 308

2018 Medicare Patient Data

Information about Medicare patients treated by Miriam Elaine Tell, APRN, CNP.

Gender
Male 49
Female 62
Ethnicity
Non-Hispanic White 96
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 33
From 75 to 84 0
85 and over 0
Less than 65 58

Conditions of Medicare patients treated by Miriam Elaine Tell, APRN, CNP in 2018

Hypertension 47
High Cholesterol 33
Stroke 0
Ischemic Heart Disease 19
Depression 54
Chronic Kidney Disease 23
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 12
Chronic Obstructive Pulmonary Disease 10
Diabetes 27
Dementia 34
Cancer 0

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

Volume of procedures performed by Miriam Elaine Tell, APRN, CNP for Medicare patients.

doctor visit 151

2019 Medicare Patient Data

Information about Medicare patients treated by Miriam Elaine Tell, APRN, CNP.

Gender
Male 40
Female 49
Ethnicity
Non-Hispanic White 76
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 0
From 75 to 84 0
85 and over 0
Less than 65 59

Conditions of Medicare patients treated by Miriam Elaine Tell, APRN, CNP in 2019

Hypertension 38
High Cholesterol 29
Stroke 0
Ischemic Heart Disease 15
Depression 58
Chronic Kidney Disease 13
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 21
Dementia 16
Cancer 0

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

Volume of procedures performed by Miriam Elaine Tell, APRN, CNP for Medicare patients.

doctor visit 41

2020 Medicare Patient Data

Information about Medicare patients treated by Miriam Elaine Tell, APRN, CNP.

Gender
Male 35
Female 42
Ethnicity
Non-Hispanic White 64
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 17
From 75 to 84 0
85 and over 0
Less than 65 49

Conditions of Medicare patients treated by Miriam Elaine Tell, APRN, CNP in 2020

Hypertension 34
High Cholesterol 30
Stroke 0
Ischemic Heart Disease 16
Depression 61
Chronic Kidney Disease 17
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 0
Chronic Obstructive Pulmonary Disease 0
Diabetes 23
Dementia 14
Cancer 0

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2020

Volume of procedures performed by Miriam Elaine Tell, APRN, CNP for Medicare patients.

The highest averages for the top procedures that Miriam Elaine Tell, APRN, CNP treated as a counselor in Bagley, MN were hospital care, inpatient care and mental health therapy.

doctor visit 148
hospital care 321
inpatient care 321
mental health therapy 63

Average Medicare Patient Data From 2012 - 2020

Information about Medicare patients treated by Miriam Elaine Tell, APRN, CNP.

Gender
Male 61
Female 74
Ethnicity
Black / African American 0
Asian / Pacific Islander 0
Non-Hispanic White 107
Hispanic 0
Native American / Alaskan Native 0
Other 0
Age
75 to 84 16
85 and over 18
Less than 65 66
65 to 74 28

Average of Total of Conditions of Medicare patients treated by Miriam Elaine Tell, APRN, CNP From 2012 - 2020

The highest averages of the most common conditions of Medicare patients that Miriam Elaine Tell, APRN, CNP treated were depression, hypertension, dementia and high cholesterol.

Hypertension 42
High Cholesterol 32
Stroke 0
Ischemic Heart Disease 20
Depression 58
Chronic Kidney Disease 19
Asthma 6
Osteoporosis 6
Heart Failure 9
Chronic Obstructive Pulmonary Disease 8
Diabetes 23
Atrial Fibrillation 3
Cancer 4
Dementia 35

Education & Training

She is certified by the Board Certification: American Nurses Credentialing Center - Nurse Practitioner - Psychiatric - Mental Health and has a state license in Oregon.

Board Certification: Board Certification: American Nurses Credentialing Center - Nurse Practitioner - Psychiatric - Mental Health

Licensed In: Oregon

Affiliations & Hospitals

Miriam Elaine Tell, APRN, CNP is associated with these hospitals and organizations:

Essentia Health
FIRST CARE MEDICAL SERVICES

Ratings & Reviews

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Biography

Ms. Miriam Tell's specialties are psychiatry and counseling. Her clinical interests include outpatient care, body dysmorphic disorder, and attention deficit disorder (ADD/ADHD). Ms. Tell is affiliated with Essentia Health. She welcomes new patients at her office inFosston, MN as reported by Essentia Health.

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