Anne Boyd Nikle, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

70032 Issued in MN

Practice address

11107 Ulysses St NE Ste 200
Blaine, MN 55434-4264

Phone

(763) 571-4000

Fax

(763) 502-2966

NPI assigned

Mar 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Minnesota Medical School, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Associated Skin Care Specialists, PAGroup PAC ID 8921908047, 18 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.79 of 100Reported as group

Quality

53.64

Promoting interoperability

100

Improvement activities

40

Cost

88.99

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: anikle@associatedskincare.emadirect.md

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.

• Associated Skin Care Specialists, PA

  • Dermatology Physician
  • Coon Rapids, MN
  • NPI 1083659569
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630281600000",
    "number": "1417319633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 14TH ST NW STE 240",
            "city": "NEW BRIGHTON",
            "state": "MN",
            "postal_code": "551120007",
            "telephone_number": "763-571-4000",
            "fax_number": "763-502-2966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11107 ULYSSES ST NE STE 200",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554344264",
            "telephone_number": "763-571-4000",
            "fax_number": "763-502-2966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9600 Upland Ln N Ste 250",
            "address_purpose": "LOCATION",
            "city": "Maple Grove",
            "state": "MN",
            "postal_code": "553694497",
            "country_code": "US",
            "telephone_number": "763-416-2380",
            "fax_number": "763-502-2966",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3833 Coon Rapids Blvd NW Ste 280",
            "address_purpose": "LOCATION",
            "city": "Coon Rapids",
            "state": "MN",
            "postal_code": "554332597",
            "country_code": "US",
            "telephone_number": "763-571-4000",
            "fax_number": "763-502-2966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIKLE",
        "first_name": "ANNE",
        "middle_name": "BOYD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-26",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MN",
            "license": "70032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael John Nemetz, DDS
• Amanda Neumann, LMFT
• Nguyen Quality Assurance Inc
• Nancy Nguyen
• Yvette Nguyen
• Oyata Marie Nixon
• Chioma Frances Nnolim
• Nodlandmondry, P.L.L.C. (Aberdeen Dental Associates)
• Hallie Samantha Nolder
• Hika Nono

• Dermatology Physician in Blaine, MN
• Providers in Blaine, MN by specialty
• Dermatology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; 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.

Verify at the official NPI Registry.