NPIMap

Individual provider Active NPI

Annette N Mies, MD

  • Obstetrics & Gynecology Physician
  • Maplewood, MN
National Provider Identifier
1265418750
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
29149 Issued in MN
Practice address
1655 Beam Ave
Number 102
Maplewood, MN 55109-1163
Phone
(651) 227-9141
Fax
(651) 265-6772
NPI assigned
Dec 16, 2005
Last updated
Jan 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 29149 MN Primary

Addresses

Primary practice location

1655 Beam Ave
Number 102
Maplewood, MN 55109-1163

Mailing address

17 Exchange St W
Number 622
Saint Paul, MN 55102-1045
Phone (651) 227-9141

Other identifiers 13

IdentifierTypeStateIssuer
34547300OtherWISCONSIN MA
0703919OtherMEDICA CHOICE
207587300OtherMN MEDICAL ASSISTANCE
960980641010OtherPREFERRED ONE
960980641010OtherPEAK PROVIDER NUMBER
960980641010OtherPREICH PROVIDER NUMBER
P00135294OtherRR MEDICARE
207587300MedicaidMN
HP13975OtherEMHD
23210OtherARAZ
106064C280OtherUCARE
160002345OtherMETRAHEALTH MEDICARE
457R0MIOtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040712001017 MN Practitioner - Obstetrics/Gynecology 8123006517 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Minnesota Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minnesota Womens Care PAGroup PAC ID 9638329394, 44 clinicians

Practice addresses (Care Compare)

2603 White Bear Ave N
Maplewood, MN 55109-5110
Phone (651) 600-3035

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.24 of 100Reported as group
Quality
86.35
Promoting interoperability
100
Improvement activities
40
Cost
71.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29149MNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minnesota Women's Care, P.a. Obstetrics & Gynecology CurrentSince Jul 20, 2024 Accepting new patients
Premier OBGYN of Minnesota PLLC Obstetrics & Gynecology CurrentSince Apr 1, 2011 Accepting new patients
Comprehensive Healthcare for Women, PA Obstetrics & Gynecology CurrentSince Jul 20, 2024 Accepting new patients

Locations

15000 Garrett Ave
Apple Valley, MN 55124

8650 Hudson Blvd N
Lake Elmo, MN 55042
Phone (651) 561-5651

1655 Beam Ave
Ste 102
Maplewood, MN 55109
Phone (651) 227-9141

14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141

17 Exchange St W
Ste 622
Saint Paul, MN 55102
Phone (651) 227-9141

2603 White Bear Ave N
Saint Paul, MN 55109
Phone (651) 209-8125

1687 Woodlane Dr
Woodbury, MN 55125
Phone (651) 209-6685

1687 Woodlane Dr
Ste 101
Woodbury, MN 55125
Phone (651) 209-6263

2101 Woodwinds Dr
Ste 300
Woodbury, MN 55125
Phone (651) 227-9141

Interoperability endpoints

  • Direct secure messaging: annette.mies@mwc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHCDA

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1265418750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 EXCHANGE ST W",
            "address_2": "NUMBER 622",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021045",
            "telephone_number": "651-227-9141",
            "fax_number": "651-265-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 BEAM AVE",
            "address_2": "NUMBER 102",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551091163",
            "telephone_number": "651-227-9141",
            "fax_number": "651-265-6772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIES",
        "first_name": "ANNETTE",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "29149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN MA",
            "identifier": "34547300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA CHOICE",
            "identifier": "0703919",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MN MEDICAL ASSISTANCE",
            "identifier": "207587300",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "960980641010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEAK PROVIDER NUMBER",
            "identifier": "960980641010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREICH PROVIDER NUMBER",
            "identifier": "960980641010",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00135294",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207587300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMHD",
            "identifier": "HP13975",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARAZ",
            "identifier": "23210",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "106064C280",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "METRAHEALTH MEDICARE",
            "identifier": "160002345",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "457R0MI",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

Verify at the official NPI Registry.