Active NPI
Robert Scott Nesheim, M.D.
- Psychiatry Physician
- Saint Paul, MN
National Provider Identifier
1114926219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 22920
- Practice address
- 408 Saint Peter St
Ste 429
Saint Paul, MN 55102-1130 - Phone
- (651) 224-0614
- Fax
- (651) 224-5754
- NPI assigned
- Jul 20, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 22920 | MN | Primary |
Addresses
Primary practice location
408 Saint Peter St
Ste 429
Saint Paul, MN 55102-1130
Mailing address
408 Saint Peter St
Ste 429
Saint Paul, MN 55102-1130
Phone (651) 224-0614
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15-79433 | Other | UBH | |
| 31464400 | Medicaid | WI | |
| 77D45NE | Other | MN | BCBSMN DFPC |
| HP25137 | Other | HEALTHPARTNERS | |
| 112721 | Other | UCARE | |
| 15-39434 | Other | MEDICA | |
| 183380400 | Medicaid | MN | |
| 089R2NE | Other | BC/BS | |
| 1010589 | Other | PREFERRED ONE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HRC Mental Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Superior, WI
- NPI 1922073121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1114926219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "408 SAINT PETER ST",
"address_2": "STE 429",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551021130",
"telephone_number": "651-224-0614",
"fax_number": "651-224-5754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 SAINT PETER ST",
"address_2": "STE 429",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551021130",
"telephone_number": "651-224-0614",
"fax_number": "651-224-5754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESHEIM",
"first_name": "ROBERT",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "22920",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBH",
"identifier": "15-79433",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31464400",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSMN DFPC",
"identifier": "77D45NE",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP25137",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "112721",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "15-39434",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "183380400",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "089R2NE",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1010589",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.