Individual provider Active NPI

Patricia Susan Bikkie, CNP

  • Gerontology Nurse Practitioner
  • Fridley, MN
National Provider Identifier
1255415857
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
Practice address
550 Osborne Rd NE
Fridley, MN 55432-2718
Phone
(763) 236-3251
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X MN Primary

Addresses

Primary practice location

550 Osborne Rd NE
Fridley, MN 55432-2718

Mailing address

1283 Hewitt Ave
Saint Paul, MN 55104-1424
Phone (651) 643-0946

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050103000584 MN Practitioner - Nurse Practitioner 1153389481 Reassigns benefits to 3 organizations
I20240502003418 WI Practitioner - Nurse Practitioner 1153389481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
William B Orr Consulting PAGroup PAC ID 2769518224, 3 clinicians

Practice addresses (Care Compare)

200 Elm St N
Onamia, MN 56359-7901
Phone (651) 528-8183

3501 Park Lane Dr
La Crosse, WI 54601-7747
Phone (651) 528-8183

720 Main St
Suite 204
Mendota Heights, MN 55118-1800

Hospital & facility affiliations

  • Mayo Clinic Health System-Franciscan Medical Center Inc Hospital, La Crosse, WI, CCN 520004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0383088-23MNMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mille Lacs Health System CurrentSince Apr 1, 2019 Accepting new patients
Mille Lacs Health System CurrentSince Jan 4, 2025 Accepting new patients
Mille Lacs Health System CurrentSince Apr 1, 2019 Accepting new patients
William B Orr Consulting PA CurrentSince Jun 4, 2013 Accepting new patients
Allina Hopsital and Clinics Past Accepting new patients
Allina Health System Past Accepting new patients
Columbia Park Medical Group, PA Past Accepting new patients

Locations

200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750

720 Main St
Ste 204
Saint Paul, MN 55118
Phone (651) 235-9686

3501 Park Lane Dr
La Crosse, WI 54601
Phone (608) 789-4800

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255415857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 HEWITT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041424",
            "telephone_number": "651-643-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 OSBORNE RD NE",
            "city": "FRIDLEY",
            "state": "MN",
            "postal_code": "554322718",
            "telephone_number": "763-236-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIKKIE",
        "first_name": "PATRICIA",
        "middle_name": "SUSAN",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fridley, MN

Sources for this page

Verify at the official NPI Registry.