Active NPI
Noel A. Radcliffe, MD
- Family Medicine Physician
- Edina, MN
National Provider Identifier
1356532469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 32909
- Practice address
- 6363 France Ave S
Suite 525
Edina, MN 55435-2129 - Phone
- (952) 926-6489
- Fax
- (952) 926-6501
- NPI assigned
- Aug 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32909 | MN | Primary |
Addresses
Primary practice location
6363 France Ave S
Suite 525
Edina, MN 55435-2129
Mailing address
6363 France Ave S
Suite 525
Edina, MN 55435-2129
Phone (952) 926-6489
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165885900 | Medicaid | MN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Wisconsin School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Josephs Health Services Inc
Practice addresses (Care Compare)
400 Water Ave
Hillsboro, WI 54634-9054
Phone (608) 489-8000
Hospital & facility affiliations
- Gundersen St Josephs Hospital and Clinics
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph'S Health Services, Inc | Current | Accepting new patients | |
| St. Joseph'S Health Services, Inc. | Current | Accepting new patients | |
| St. Joseph'S Health Services, Inc. | Current | Accepting new patients | |
| St. Joseph'S Health Services, Inc. | Current | Accepting new patients | |
| Fairview Pharmacy Service LLC | Past | Accepting new patients | |
| Edina Sports Health & Wellness, PA | Family Medicine | Past | Accepting new patients |
Locations
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
Interoperability endpoints
- nradcliffe58487@direct.emplifyhealth.org
Organizations & group practices 6
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.
-
- Clinic/Center
- Hillsboro, WI
- NPI 1104031798
-
- Medicare Defined Swing Bed Hospital Unit
- Hillsboro, WI
- NPI 1306051990
-
- Rural Health Clinic/Center
- Wonewoc, WI
- NPI 1881607463
-
- Clinic/Center
- Elroy, WI
- NPI 1699788273
-
- Family Medicine Physician
- Edina, MN
- NPI 1215010335
-
- Non-Pharmacy Dispensing Site
- Edina, MN
- NPI 1316461593
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hillsboro, WI
- NPI 1972591410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317859200000",
"number": "1356532469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6363 FRANCE AVE S",
"address_2": "SUITE 525",
"city": "EDINA",
"state": "MN",
"postal_code": "554352129",
"telephone_number": "952-926-6489",
"fax_number": "952-926-6501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6363 FRANCE AVE S",
"address_2": "SUITE 525",
"city": "EDINA",
"state": "MN",
"postal_code": "554352129",
"telephone_number": "952-926-6489",
"fax_number": "952-926-6501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADCLIFFE",
"first_name": "NOEL",
"middle_name": "A.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-05",
"last_updated": "2011-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "32909",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165885900",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.