Nicholas Moore Southerton, MSN, CNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

10301 Issued in MN

Practice address

270 Main St N Ste 300
Stillwater, MN 55082-6788

Phone

(651) 342-1039

Fax

(651) 342-1428

NPI assigned

Jun 9, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bluestone Physician Services PAGroup PAC ID 4486658333, 61 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Brooklyn Park, MN, CCN 247145
• Triniti Home Health and Hospice Home health agency, Elk River, MN, CCN 247263
• Accurate Home Care Home health agency, Otsego, MN, CCN 248129
• Interim Healthcare of the Twin Cities Home health agency, Roseville, MN, CCN 247104
• Home Health Care Inc Home health agency, Golden Valley, MN, CCN 248037
• Brighton Hospice Hospice, Saint Louis Park, MN, CCN 241594
• M Health Fairview University of MN Medical Center Hospital, Minneapolis, MN, CCN 240080

Merit-based Incentive Payment System (MIPS)

Final score

86.11 of 100Reported as group

Quality

70.97

Improvement activities

40

Cost

73.58

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Bluestone Physician Services, P.a.

  • Family Medicine Physician
  • Stillwater, MN
  • NPI 1578595971
  Medicare reassignment Care Compare group NPD
• Twin Cities Physicians Professional Corporation

  • Multi-Specialty Clinic/Center
  • Golden Valley, MN
  • NPI 1992176499

  Nurse Practitioner

  Medicare reassignment NPD
• Noran Neurological Clinic P.a.

  • Specialist
  • Bloomington, MN
  • NPI 1710098306
  NPD (past)

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

• Accurate Home Care, LLC

  • Home Health Agency
  • Otsego, MN
  • NPI 1689723207
  Care Compare affiliation
• Brighton Hospice Minnesota, LLC

  • Community Based Hospice Care Agency
  • St Louis Park, MN
  • NPI 1891118931
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Brooklyn Park, MN
  • NPI 1194757468
  Care Compare affiliation
• Fairview Health Services

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1013994359
  Care Compare affiliation
• Fairview Health Services

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1316008212
  Care Compare affiliation
• Fairview Health Services

  • Skilled Nursing Facility
  • Minneapolis, MN
  • NPI 1669459913

  Hospital

  Care Compare affiliation
• Guardian Angels Elim Home Care, Inc

  • Home Health Agency
  • Elk River, MN
  • NPI 1417988429
  Care Compare affiliation
• Home Health Care, Incorporated

  • Home Health Registered Nurse
  • Golden Valley, MN
  • NPI 1255440061

  Home health agency

  Care Compare affiliation
• Interim Healthcare of the Twin Cities, LLC

  • Home Health Agency
  • Roseville, MN
  • NPI 1285737460
  Care Compare affiliation

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1013691153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 144TH LN NE",
            "city": "HAM LAKE",
            "state": "MN",
            "postal_code": "553046260",
            "telephone_number": "763-248-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 MAIN ST N STE 300",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550826788",
            "telephone_number": "651-342-1039",
            "fax_number": "651-342-1428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOUTHERTON",
        "first_name": "NICHOLAS",
        "middle_name": "MOORE",
        "credential": "MSN, CNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-09",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "10301",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MN",
            "license": "10301",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MN",
            "license": "10301",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "10301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily T Solie, PA-C
• Lisa Jean Somerville
• Lindsey Rae Sommer, LADC
• Sonus-USA, Inc.
• Kate Walsh Soucheray, LMFT
• Southside Community Health Services, Inc.
• Steven Duane Spandl
• Spinal Care One, PA
• Spine and Sport Chiropractic
• Shelley L Spitzer, OTR

• Gerontology Nurse Practitioner in Stillwater, MN
• Providers in Stillwater, MN by specialty
• Gerontology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.