Individual provider Active NPI

Cherie S. Nienow, RN, CNP

  • Nurse Practitioner
  • Roseville, MN
National Provider Identifier
1003012667
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R 125335-1 Issued in MN
Practice address
2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone
(651) 292-2000
NPI assigned
Jun 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R 125335-1 MN Primary

Addresses

Primary practice location

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905

Mailing address

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone (651) 292-2000

Other identifiers 1

IdentifierTypeStateIssuer
488467000MedicaidMN

Other names 1

  • Cherie S. Canfield Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070927000968 MN Practitioner - Nurse Practitioner 3173618642 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Radiology PAGroup PAC ID 4486568482, 217 clinicians

Practice addresses (Care Compare)

2355 Hwy 36 W
Suite 100
Roseville, MN 55113-3905
Phone (651) 292-2000

Hospital & facility affiliations

  • Regions Hospital Hospital, Saint Paul, MN, CCN 240106
  • Allina United Hospital Hospital, Saint Paul, MN, CCN 240038
  • M Health Fairview St John'S Hospital Hospital, Maplewood, MN, CCN 240210

Merit-based Incentive Payment System (MIPS)

Final score
93.17 of 100Reported as group
Quality
95
Improvement activities
40
Cost
82.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
R 125335-1MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Imaging, LLC CurrentSince Mar 1, 2019 Accepting new patients
Midwest Radiology, PA CurrentSince Nov 15, 2015 Accepting new patients
Midwest Radiology Outpatient Imaging, LLC CurrentSince Nov 15, 2015 Accepting new patients
Consulting Radiologists, LTD PastSince Mar 1, 2019 Accepting new patients

Locations

14000 Nicollet Ave
Ste 204
Burnsville, MN 55337
Phone (952) 898-2333

6545 France Ave S
Ste 125
Edina, MN 55435
Phone (952) 405-2777

8650 Hudson Blvd N
Ste 130
Lake Elmo, MN 55042
Phone (651) 730-4145

12000 Elm Creek Blvd N
Ste 310
Maple Grove, MN 55369
Phone (763) 416-7888

11850 Blackfoot St NW
Ste 180
Minneapolis, MN 55433
Phone (763) 795-1600

6545 France Ave S
Ste 115
Minneapolis, MN 55435
Phone (952) 893-1997

8990 Springbrook Dr NW
Ste 140
Minneapolis, MN 55433
Phone (763) 792-1900

4801 W 81st St
Ste 108
Minneapolis, MN 55437
Phone (952) 837-9700

333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256

2355 Highway 36 W
Ste 100
Saint Paul, MN 55113
Phone (651) 292-0000

250 Thompson St
Saint Paul, MN 55102
Phone (651) 297-6504

514 Saint Peter St
Ste 100
Saint Paul, MN 55102
Phone (651) 726-6500

166 4th St E
Saint Paul, MN 55101
Phone (651) 292-2009

Interoperability endpoints

  • FHIR API: https://api.healthpartnersfhir.com/r4
  • FHIR API: https://proxy.healthpartners.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1003012667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 HIGHWAY 36 W STE 100",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551133905",
            "telephone_number": "651-292-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIENOW",
        "first_name": "CHERIE",
        "middle_name": "S.",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R 125335-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "488467000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERIE",
            "last_name": "CANFIELD",
            "middle_name": "S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Roseville, MN

Sources for this page

Verify at the official NPI Registry.