Individual provider Active NPI

Nicole Beth Briggs Beckmann, NP

  • Registered Nurse
  • Minneapolis, MN
National Provider Identifier
1306016860
Registry record updated Oct 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
R170994-4 Issued in MN
Practice address
2545 Chicago Ave
Suite 104
Minneapolis, MN 55404-4522
Phone
(612) 813-8014
Fax
(612) 813-5988
NPI assigned
Mar 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 152695 WI
Pediatric Nurse Practitioner 363LP0200X 3372 WI
Registered Nurse 163W00000X R170994-4 MN Primary

Addresses

Primary practice location

2545 Chicago Ave
Suite 104
Minneapolis, MN 55404-4522

Mailing address

422 Wren LN
Hudson, WI 54016-7765
Phone (919) 358-2451

Other names 1

  • Nicole Beth Briggs 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
I20081218000365 MN Practitioner - Nurse Practitioner 9133205263 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
719MNMDProfessional Counselor
R170994-4MNMDRegistered Nurse
152695WIMDRegistered Nurse
3372WIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Express Care Current Accepting new patients
Fairview Health Services Current Accepting new patients
Childrens Health Care Current Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2019 Accepting new patients
Fairview Express Care CurrentSince Jan 1, 2019 Accepting new patients
Childrens Health Care CurrentSince Jul 1, 2015 Accepting new patients
Childrens Health Care CurrentSince Jul 1, 2015 Accepting new patients
Fairview Clinics CurrentSince Oct 4, 2011 Accepting new patients
Fairview Health Services CurrentSince Oct 4, 2011 Accepting new patients
Gillette Children's Specialty Healthcare Past Accepting new patients
Pediatric Surgical Associates LTD PastSince Jul 1, 2015 Accepting new patients

Locations

420 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-6483

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

720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649

2530 Chicago Ave
Ste 550
Minneapolis, MN 55404
Phone (612) 810-8000

2525 Chicago Ave
Minneapolis, MN 55404
Phone (612) 813-6000

909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383

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

5901 Lincoln Dr
#2
Saint Louis Park, MN 55436
Phone (952) 992-5691

347 Smith Ave N
Saint Paul, MN 55102
Phone (651) 220-6000

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224115200000",
    "number": "1306016860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 WREN LN",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540167765",
            "telephone_number": "919-358-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2545 CHICAGO AVE",
            "address_2": "SUITE 104",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554044522",
            "telephone_number": "612-813-8014",
            "fax_number": "612-813-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKMANN",
        "first_name": "NICOLE",
        "middle_name": "BETH BRIGGS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "152695",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "3372",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R170994-4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BRIGGS",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.