Individual provider Active NPI

Nicole Te Poel, M.D.

  • Family Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1346560034
Registry record updated May 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60354 Issued in MN
Practice address
640 Jackson St
Saint Paul, MN 55101-2502
Phone
(952) 967-7977
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 60354 MN Primary
Emergency Medicine Physician 207P00000X 66589-20 WI
Family Medicine Physician 207Q00000X MD19823 ME

Addresses

Primary practice location

640 Jackson St
Saint Paul, MN 55101-2502

Mailing address

PO Box 1309
Mail Stop 21110Q
Minneapolis, MN 55440-1309
Phone (651) 254-3456

Other practice location 1

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600

Other practice location 2

265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN, WI3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20141229000243 CA Practitioner - Family Practice 3779719380 Reassigns benefits to 1 organization
I20160419000829 MN Practitioner - Family Practice 3779719380 Reassigns benefits to 5 organizations
I20161220001455 WI Practitioner - Family Practice 3779719380 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Croix Regional Medical CenterGroup PAC ID 9335032184, 131 clinicians
Hudson Hospital IncGroup PAC ID 0648183061, 37 clinicians
Westfields Hospital IncGroup PAC ID 2264490960, 108 clinicians
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians

Practice addresses (Care Compare)

235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-3221

405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-3456

8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148

927 Churchill W St
Stillwater, MN 55082-6605
Phone (651) 439-5330

Hospital & facility affiliations

  • Lakeview Memorial Hospital Hospital, Stillwater, MN, CCN 240066
  • Regions Hospital Hospital, Saint Paul, MN, CCN 240106
  • Amery Hospital & Clinic Hospital, Amery, WI, CCN 521308
  • Hudson Hospital Hospital, Hudson, WI, CCN 521335
  • Westfields Hospital and Clinic Hospital, New Richmond, WI, CCN 521345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66589-20WIMDEmergency Medicine Physician
60354MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hutchinson Health CurrentSince Jul 1, 2024 Accepting new patients
Group Health Plan, Inc. CurrentSince Jul 12, 2016 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Dec 31, 2025 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jan 9, 2017 Accepting new patients
Lakeview Memorial Hospital Association Inc. Emergency Medicine CurrentSince Jan 17, 2022 Accepting new patients
Hudson Hospital, Inc. CurrentSince Jan 9, 2017 Accepting new patients
Lakeview Memorial Hospital Association Inc CurrentSince Jan 17, 2022 Accepting new patients
Healthpartners RC CurrentSince Jul 1, 2024 Accepting new patients
Healthpartners RC CurrentSince Jul 1, 2024 Accepting new patients
St. Croix Regional Medical Center CurrentSince Jul 1, 2024 Accepting new patients
Group Health, Inc. Current Accepting new patients
Hudson Hospital, Inc. CurrentSince Jan 9, 2017 Accepting new patients
Westfields Hospital, Inc. Family Medicine CurrentSince Jan 9, 2017 Accepting new patients
St. Croix Regional Medical Center CurrentSince Jul 1, 2024 Accepting new patients
Group Health, Inc. CurrentSince Jul 12, 2016 Accepting new patients
Westfields Hospital, Inc CurrentSince Jan 9, 2017 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Jan 9, 2017 Accepting new patients
Lakeview Memorial Hospital Association Inc Past Accepting new patients
Hudson Hospital, Inc Past Accepting new patients

Locations

1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358

1095 Highway 15 S
Hutchinson, MN 55350
Phone (320) 234-5000

8170 33rd Ave S
Minneapolis, MN 55425
Phone (952) 883-5463

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

927 Churchill St W
Stillwater, MN 55082
Phone (651) 430-4529

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221

Organizations & group practices 20

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 20

Hospital & facility affiliations 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1346560034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1309",
            "address_2": "MAIL STOP 21110Q",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554401309",
            "telephone_number": "651-254-3456",
            "fax_number": "651-254-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "952-967-7977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "New Richmond",
            "state": "WI",
            "postal_code": "540171449",
            "country_code": "US",
            "telephone_number": "715-243-2600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "265 Griffin St E",
            "address_purpose": "LOCATION",
            "city": "Amery",
            "state": "WI",
            "postal_code": "540011439",
            "country_code": "US",
            "telephone_number": "715-268-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TE POEL",
        "first_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "60354",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "66589-20",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD19823",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.