Nicole Rae Mislivec, MSN, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

10811 Issued in MN

Practice address

7430 Wentworth Ave
Richfield, MN 55423-4133

Phone

(612) 488-0040

Fax

(833) 973-4055

NPI assigned

Sep 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Telehealth

Offers telehealth services

Group practices

Mending Mental HealthGroup PAC ID 0446690770, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21285/brand/1/csg/1/fhir/r4
• Direct secure messaging: nicole.mislivec.1@31911.direct.athenahealth.com

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.

• Mending Mental Health

  • Psychiatry Physician
  • Richfield, MN
  • NPI 1720846215

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Dr Sujit R Varma Inc

  • Psychiatry Physician
  • Edina, MN
  • NPI 1194098053
  Medicare reassignment NPD
• Eir Med LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hibbing, MN
  • NPI 1912579244
  NPD (past)
• Psych North PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Duluth, MN
  • NPI 1760136964
  NPD (past)

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1245019231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5375 HYLAND PL",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554371927",
            "telephone_number": "612-275-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 WENTWORTH AVE",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554234133",
            "telephone_number": "612-488-0040",
            "fax_number": "833-973-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISLIVEC",
        "first_name": "NICOLE",
        "middle_name": "RAE",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-27",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "10811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minneapolis Vamc
• Minnesota Family Chiropractic Inc
• Minnesota Multi Cultural Counselling and Consultant Inc
• Renee L Minter
• Eiley Kwon Misfeldt
• Mission Wellness MN PLLC
• Catherine M Mjos, LP
• Modern Audiology Minnesota, Inc.
• Modern Audiology Richfield Inc
• Mark John Modjean, DDS

• Psychiatric/Mental Health Nurse Practitioner in Richfield, MN
• Providers in Richfield, MN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.