Individual provider Active NPI

Michelle Lynn Flaskerud, CNP

  • Family Nurse Practitioner
  • Waconia, MN
National Provider Identifier
1285872754
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
CNP0049 Issued in MN
Practice address
424 W Highway 5
Waconia, MN 55387-1723
Phone
(952) 442-4461
NPI assigned
Jan 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X CNP0049 MN Primary

Addresses

Primary practice location

424 W Highway 5
Waconia, MN 55387-1723

Mailing address

424 Hwy 5 West
Lakeview Clinic
Waconia, MN 55387
Phone (952) 442-4461

Other names 1

  • Michelle Lynn Lange Former name

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
I20090402000647 MN Practitioner - Nurse Practitioner 4183771447 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healtheast Medical Research InstituteGroup PAC ID 3971407636, 665 clinicians
Fairview ClinicsGroup PAC ID 7113830142, 799 clinicians
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

1700 University Ave W
6TH Floor W
Saint Paul, MN 55104-3727
Phone (651) 232-2273

3305 Central Park Village Dr
Suite 200
Eagan, MN 55121-7707
Phone (651) 406-8860

560 S Maple St
Waconia, MN 55387-1759

7907 Powers Blvd
Chanhassen, MN 55317-9502
Phone (952) 934-0570

Merit-based Incentive Payment System (MIPS)

Final score
92.35 of 100Reported as group
Quality
91.74
Promoting interoperability
100
Improvement activities
40
Cost
77.13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CNP0049MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care CurrentSince Oct 11, 2019 Accepting new patients
Fairview Clinics Current Accepting new patients
Ridgeview Medical Center CurrentSince May 6, 2024 Accepting new patients
Ridgeview Medical Center CurrentSince May 6, 2024 Accepting new patients
Fairview Clinics CurrentSince Oct 11, 2019 Accepting new patients
Fairview Express Care Current Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Apr 27, 2022 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute CurrentSince Apr 27, 2022 Accepting new patients
Fairview Express Care CurrentSince Oct 11, 2019 Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Health Services Current Accepting new patients
Fairview Clinics CurrentSince Oct 11, 2019 Accepting new patients
Fairview Health Services CurrentSince Oct 11, 2019 Accepting new patients
Fairview Clinics Past Accepting new patients

Locations

13819 Hanson Blvd NW
Andover, MN 55304
Phone (763) 572-5700

165 W Commerce Dr
Belle Plaine, MN 56011
Phone (952) 777-5661

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

110105 Pioneer Trl W
#100
Chaska, MN 55318
Phone (952) 556-0120

916 Saint Peter Ave E
Delano, MN 55328
Phone (763) 972-9172

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

6545 France Ave S
Ste 150
Edina, MN 55435
Phone (952) 848-5600

14500 99th Ave N
Ste 100
Maple Grove, MN 55369
Phone (763) 898-1000

10000 Zane Ave N
Minneapolis, MN 55443
Phone (763) 528-6999

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

600 W 98th St
Minneapolis, MN 55420
Phone (952) 881-2651

5366 386th St NE
North Branch, MN 55056
Phone (651) 674-6800

406 Faxon Rd N
Nya, MN 55368
Phone (952) 467-1915

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

3305 Central Park Village Dr
#200
Saint Paul, MN 55121

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

1390 University Ave W
Saint Paul, MN 55104
Phone (651) 232-4800

3305 Central Park Village Dr
Ste 200
Saint Paul, MN 55121
Phone (651) 406-8860

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

2155 Ford Pkwy
Ste A
Saint Paul, MN 55116
Phone (651) 696-5000

424 W State Highway 5
Waconia, MN 55387
Phone (952) 442-4461

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Interoperability endpoints

  • Direct secure messaging: mflaskerud492328@fairview.direct-ci.com

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1285872754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 HWY 5 WEST",
            "address_2": "LAKEVIEW CLINIC",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "55387",
            "telephone_number": "952-442-4461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W HIGHWAY 5",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "553871723",
            "telephone_number": "952-442-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLASKERUD",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-21",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP0049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LANGE",
            "middle_name": "LYNN",
            "credential": "CNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waconia, MN

Sources for this page

Verify at the official NPI Registry.