Active NPI
Scott E Nicholls, MD
- Emergency Medicine Physician
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 49580
- Practice address
- 1925 Woodwinds Dr
Woodbury, MN 55125-2270 - Phone
- (651) 232-0228
- NPI assigned
- Nov 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | EC-05-141 | ME | |
| Emergency Medicine Physician | 207P00000X | 49580 | MN | Primary |
| Emergency Medicine Physician | 207P00000X | 87321-20 | WI |
Addresses
Primary practice location
1925 Woodwinds Dr
Woodbury, MN 55125-2270
Mailing address
2829 University Ave SE Ste 730
Minneapolis, MN 55414-3279
Other practice location 1
235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-0555
Other practice location 2
2250 NW 26th St
Owatonna, MN 55060-5503
Phone (507) 451-3850
Other practice location 3
1575 Beam Ave
Maplewood, MN 55109-1126
Phone (651) 232-7348
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 95.56
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| EC-05-141 | ME | MD | Emergency Medicine Physician |
| 87321-20 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Care Consultants, PA | Emergency Medicine | Current | Accepting new patients |
| Healtheast St. John'S Hospital | Current | Accepting new patients | |
| Healtheast Woodwinds Hospital | Current | Accepting new patients | |
| Ecc Addiction & Toxicology Services LLC | Past | Accepting new patients |
Locations
200 State Ave
Faribault, MN 55021
Phone (507) 334-6451
1175 Nininger Rd
Hastings, MN 55033
Phone (651) 404-1000
800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547
800 E 28th St
#11112
Minneapolis, MN 55407
Phone (612) 863-4233
2829 University Ave SE
Ste 730
Minneapolis, MN 55414
Phone (612) 439-1868
2250 NW 26th St
Owatonna, MN 55060
Phone (507) 451-3850
1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000
45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000
333 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-8256
1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100
1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000
235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221
Interoperability endpoints
- snicholls630498@fairview.direct-ci.com
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.
-
- Emergency Medicine Physician
- Minneapolis, MN
- NPI 1669422788
-
- General Acute Care Hospital
- Maplewood, MN
- NPI 1447218482
-
- General Acute Care Hospital
- Woodbury, MN
- NPI 1356309322
-
- Medical Toxicology (Emergency Medicine) Physician
- Minneapolis, MN
- NPI 1629532429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1063587947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2829 UNIVERSITY AVE SE STE 730",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554143279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 WOODWINDS DR",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551252270",
"telephone_number": "651-232-0228"
}
],
"practiceLocations": [
{
"address_1": "235 E State St",
"address_purpose": "LOCATION",
"city": "Saint Croix Falls",
"state": "WI",
"postal_code": "540244117",
"country_code": "US",
"telephone_number": "715-483-0555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2250 NW 26th St",
"address_purpose": "LOCATION",
"city": "Owatonna",
"state": "MN",
"postal_code": "550605503",
"country_code": "US",
"telephone_number": "507-451-3850",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1575 Beam Ave",
"address_purpose": "LOCATION",
"city": "Maplewood",
"state": "MN",
"postal_code": "551091126",
"country_code": "US",
"telephone_number": "651-232-7348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NICHOLLS",
"first_name": "SCOTT",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-23",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "ME",
"license": "EC-05-141",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "49580",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "87321-20",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.