NPIMap

Individual provider Active NPI

Michelle Denise Torgersen, FNP

  • Nurse Practitioner
  • Faribault, MN
National Provider Identifier
1366728636
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R2050045 Issued in MN
Practice address
200 State Ave
Faribault, MN 55021-6339
Phone
(507) 334-8333
NPI assigned
Oct 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 286552-4405 UT
Family Nurse Practitioner 363LF0000X R 2050045 MN
Nurse Practitioner 363L00000X R2050045 MN Primary

Addresses

Primary practice location

200 State Ave
Faribault, MN 55021-6339

Mailing address

301 S Broadway
Wells, MN 56097-1735
Phone (507) 553-6341

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120209000332 MN Practitioner - Nurse Practitioner 4789841354 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

200 State Ave
Faribault, MN 55021-6339
Phone (507) 334-6451

Hospital & facility affiliations

  • Allina Health Faribault Medical Center Hospital, Faribault, MN, CCN 240071
  • Owatonna Hospital Hospital, Owatonna, MN, CCN 240069

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
72.5
Promoting interoperability
100
Improvement activities
40
Cost
77.07

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95.56
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1447MNMDCounseling Psychologist
R2050045MNMDNurse Practitioner
R 2050045MNMDFamily Nurse Practitioner
286552-4405UTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Oct 1, 2016 Accepting new patients
Allina Health System Current Accepting new patients
Emergency Care Consultants, PA CurrentSince Sep 1, 2018 Accepting new patients
Ecc Addiction & Toxicology Services LLC Past Accepting new patients

Locations

200 State Ave
Faribault, MN 55021
Phone (507) 334-6451

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

1629 E Division St
River Falls, WI 54022
Phone (715) 307-6000

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518998400000",
    "number": "1366728636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S BROADWAY",
            "city": "WELLS",
            "state": "MN",
            "postal_code": "560971735",
            "telephone_number": "507-553-6341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STATE AVE",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550216339",
            "telephone_number": "507-334-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORGERSEN",
        "first_name": "MICHELLE",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2018-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "286552-4405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R 2050045",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MN",
            "license": "R2050045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Faribault, MN

Sources for this page

Verify at the official NPI Registry.