Individual provider Active NPI

Nicolette Gindele, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Cloud, MN
National Provider Identifier
1205499464
Registry record updated Sep 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
10557 Issued in MN
Practice address
3333 W Division St Ste 215
Saint Cloud, MN 56301-4557
Phone
(320) 382-5140
Fax
(320) 238-7839
NPI assigned
Apr 15, 2019
Last updated
Sep 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10557 MN Primary

Addresses

Primary practice location

3333 W Division St Ste 215
Saint Cloud, MN 56301-4557

Mailing address

3333 W Division St Ste 215
Saint Cloud, MN 56301-4557
Phone (320) 382-5140

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231013002110 MN Practitioner - Nurse Practitioner 3274988043 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
222503-2MNMDHome Health Registered Nurse
10557MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cos PLLC CurrentSince Dec 1, 2024 Accepting new patients
Take Heart Psychiatry LLC Psychiatric/Mental Health CurrentSince May 12, 2024 Accepting new patients

Locations

114 Kidder St SE
Little Falls, MN 56345
Phone (320) 291-5358

384 3rd St NE
Waite Park, MN 56387
Phone (320) 250-9188

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, 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": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789776000000",
    "number": "1205499464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 W DIVISION ST STE 215",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014557",
            "telephone_number": "320-382-5140",
            "fax_number": "320-238-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 W DIVISION ST STE 215",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563014557",
            "telephone_number": "320-382-5140",
            "fax_number": "320-238-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINDELE",
        "first_name": "NICOLETTE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2026-09-19",
        "certification_date": "2026-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "10557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Cloud, MN

Sources for this page

Verify at the official NPI Registry.