NPIMap

Individual provider Active NPI

Nicole Irene Ellingson Williams, MS, RN, CNP

  • Family Nurse Practitioner
  • Belle Plaine, MN
National Provider Identifier
1003126707
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP 1100 Issued in MN
Practice address
700 W Prairie St
Belle Plaine, MN 56011-1000
Phone
(952) 873-2070
NPI assigned
Oct 14, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R 160797 8 MN
Family Nurse Practitioner 363LF0000X F0710512 MN
Family Nurse Practitioner 363LF0000X CNP 1100 MN Primary

Addresses

Primary practice location

700 W Prairie St
Belle Plaine, MN 56011-1000

Mailing address

8170 33Rd Ave S
PO Box 1309 Mail Stop 21110Q
Minneapolis, MN 55425-4516
Phone (952) 993-4900

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nwilliams324078@excellian.direct.allina.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110520000226 MN Practitioner - Nurse Practitioner 9931385267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

902 E 26TH St
Suite 1700
Minneapolis, MN 55404-4514
Phone (612) 863-4502

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R 160797 8MNMDRegistered Nurse
CNP 1100MNMDFamily Nurse Practitioner
F0710512MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Nov 20, 2016 Accepting new patients
Allina Health System Past Accepting new patients

Locations

755 Crossroads Campus Dr NE
Buffalo, MN 55313
Phone (763) 684-6300

3960 Coon Rapids Blvd NW
Ste 220
Coon Rapids, MN 55433
Phone (763) 236-8438

6525 France Ave S
Ste 205
Edina, MN 55435
Phone (612) 775-2999

902 E 26th St
#1700
Minneapolis, MN 55404
Phone (612) 863-4502

3024 Snelling Ave
Minneapolis, MN 55406
Phone (612) 728-1800

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431

347 Smith Ave N
Ste 204
Saint Paul, MN 55102
Phone (651) 241-6270

1021 Bandana Blvd E
Ste 100
Saint Paul, MN 55108
Phone (877) 414-2533

1625 Radio Dr
Ste 250
Woodbury, MN 55125
Phone (651) 241-3700

Interoperability endpoints

  • Direct secure messaging: nwilliams324078@excellian.direct.allina.com

Organizations & group practices 3

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1003126707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "PO BOX 1309 MAIL STOP 21110Q",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "952-993-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 W PRAIRIE ST",
            "city": "BELLE PLAINE",
            "state": "MN",
            "postal_code": "560111000",
            "telephone_number": "952-873-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NICOLE",
        "middle_name": "IRENE ELLINGSON",
        "credential": "MS, RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-14",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 160797 8",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "F0710512",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP 1100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nwilliams324078@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "700 W Prairie St",
            "city": "Belle Plaine",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560111000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belle Plaine, MN

Sources for this page

Verify at the official NPI Registry.