Individual provider Active NPI

Michelle Muench, M.D.

  • Ophthalmology Physician
  • Faribault, MN
National Provider Identifier
1093733966
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1651 Issued in MN
Practice address
1575 20TH St NW Ste 101
Faribault, MN 55021-2931
Phone
(507) 332-9900
Fax
(507) 332-6800
NPI assigned
Jul 18, 2006
Last updated
Nov 20, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 1651 MN Primary

Addresses

Primary practice location

1575 20TH St NW Ste 101
Faribault, MN 55021-2931

Mailing address

1575 20TH St NW Ste 101
Faribault, MN 55021-2931
Phone (507) 332-9900

Other identifiers 2

IdentifierTypeStateIssuer
I24702OtherMNUPIN
P00303029OtherMNRAILROAD MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050208000042 MN Practitioner - Ophthalmology 3274584396 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Minnesota Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Clinic of Faribault, PAGroup PAC ID 9436052677, 10 clinicians

Practice addresses (Care Compare)

1575 20TH St NW
Suite 101
Faribault, MN 55021-2931
Phone (507) 332-9900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1651MNMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northfield Hospital CurrentSince Jan 15, 2024 Accepting new patients
Northfield Hospital Current Accepting new patients
Eye Clinic of Faribault PA CurrentSince Apr 1, 2024 Accepting new patients
Crossroads Surgery Center Inc Past Accepting new patients

Locations

1575 20th St NW
Faribault, MN 55021
Phone (507) 333-3300

1575 20th St NW
Ste 101
Faribault, MN 55021
Phone (507) 332-6800

1575 20th St NW
Ste 203
Faribault, MN 55021
Phone (612) 735-1469

633 1st St SE
Ste 100
Faribault, MN 55021
Phone (507) 332-6800

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

9974 214th St W
Lakeville, MN 55044
Phone (952) 469-0500

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

2019 Jefferson Rd
Northfield, MN 55057
Phone (507) 645-2020

710 Division St S
Northfield, MN 55057
Phone (507) 645-2212

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1093733966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW STE 101",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212931",
            "telephone_number": "507-332-9900",
            "fax_number": "507-332-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 20TH ST NW STE 101",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550212931",
            "telephone_number": "507-332-9900",
            "fax_number": "507-332-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUENCH",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "1651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "I24702",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00303029",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

Verify at the official NPI Registry.