Individual provider Active NPI

Marie C Nelson, MD

  • Gynecology Physician
  • Little Falls, MN
National Provider Identifier
1457648065
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
59505 Issued in MN
Practice address
811 2ND St SE
Little Falls, MN 56345-3559
Phone
(320) 631-7260
Fax
(320) 632-0534
NPI assigned
Jul 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 59505 MN Primary

Addresses

Primary practice location

811 2ND St SE
Little Falls, MN 56345-3559

Mailing address

811 2ND St SE
Little Falls, MN 56345-3559
Phone (320) 631-7260

Other names 1

  • Dr. Marie C Lange Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150813010614 MN Practitioner - Obstetrics/Gynecology 2365757721 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Minnesota Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stevens Community Medical Center IncGroup PAC ID 3678475852, shared by 6 NPIs, 72 clinicians
Lakewood Health SystemGroup PAC ID 1052229671, shared by 15 NPIs, 107 clinicians

Practice addresses (Care Compare)

400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-1313

49725 County
Suite 83
Staples, MN 56479-5280
Phone (218) 894-1515

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Family Healthcare CurrentSince Mar 1, 2018 Accepting new patients
Lakewood Health System CurrentSince May 1, 2022 Accepting new patients
Lakewood Health System CurrentSince May 1, 2022 Accepting new patients
Unity Family Healthcare Current Accepting new patients
Unity Family Healthcare Current Accepting new patients
Lakewood Health System Current Accepting new patients
Unity Family Healthcare CurrentSince Mar 1, 2018 Accepting new patients

Locations

7892 Solutions Ctr
Chicago, IL 60677

815 2nd St SE
Little Falls, MN 56345
Phone (320) 632-5441

811 2nd St SE
Little Falls, MN 56345
Phone (320) 631-7000

811 2nd St SE
Ste A
Little Falls, MN 56345
Phone (320) 631-7000

49725 County 83
Staples, MN 56479
Phone (218) 894-1033

Interoperability endpoints

  • Direct secure messaging: mnelson623305@direct.ochin.org

Organizations & group practices 7

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 1

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": "1309651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1457648065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 2ND ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453559",
            "telephone_number": "320-631-7260",
            "fax_number": "320-632-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 2ND ST SE",
            "city": "LITTLE FALLS",
            "state": "MN",
            "postal_code": "563453559",
            "telephone_number": "320-631-7260",
            "fax_number": "320-632-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARIE",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-03",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "MN",
            "license": "59505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "LANGE",
            "middle_name": "C",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Falls, MN

Sources for this page

Verify at the official NPI Registry.