Active NPI
Carter J Nichols, M.D.
- Ophthalmology Physician
- Edina, MN
National Provider Identifier
1366418790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 34419
- Practice address
- 7450 France Ave S
Suite 100
Edina, MN 55435-4787 - Phone
- (952) 832-8100
- Fax
- (952) 832-8176
- NPI assigned
- Feb 25, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 34419 | MN | Primary |
Addresses
Primary practice location
7450 France Ave S
Suite 100
Edina, MN 55435-4787
Mailing address
7450 France Ave S
Suite 100
Edina, MN 55435-4787
Phone (952) 832-8100
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105073 | Other | MN | PATIENT CHOICE |
| 2F671NI | Other | MN | BLUE CROSS BLUE SHIELD |
| 23387 | Other | MN | AMERICA'S PPO/TPA |
| 0800014 | Other | MN | MEDICA DUEL SOLUTIONS |
| 960560305008 | Other | MN | PREFERRED ONE |
| F21442 | Other | MN | HEALTH PARTNERS |
| 0824658 | Other | MN | MEDICA |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050525000136 | MN | Practitioner - Ophthalmology | 5698716835 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 85.52 of 100
- Quality
- 80.37
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 74.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34419 | MN | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366418790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7450 FRANCE AVE S",
"address_2": "SUITE 100",
"city": "EDINA",
"state": "MN",
"postal_code": "554354787",
"telephone_number": "952-832-8100",
"fax_number": "952-832-8176"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7450 FRANCE AVE S",
"address_2": "SUITE 100",
"city": "EDINA",
"state": "MN",
"postal_code": "554354787",
"telephone_number": "952-832-8100",
"fax_number": "952-832-8176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "CARTER",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MN",
"license": "34419",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PATIENT CHOICE",
"identifier": "105073",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2F671NI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICA'S PPO/TPA",
"identifier": "23387",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA DUEL SOLUTIONS",
"identifier": "0800014",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "960560305008",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "F21442",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "0824658",
"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 Jul 8, 2007; 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.