Active NPI
Nicole M Whiting, CNP
- Family Nurse Practitioner
- Alexandria, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R164197-6
- Practice address
- 519 22ND Ave E
Alexandria, MN 56308-4652 - Phone
- (320) 219-7611
- Fax
- (320) 219-7612
- NPI assigned
- Jan 22, 2011
- 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 Nurse Practitioner | 363LF0000X | R164197-6 | MN | Primary |
Addresses
Primary practice location
519 22ND Ave E
Alexandria, MN 56308-4652
Mailing address
166 19TH St S
Ste 101
Sartell, MN 56377-2154
Phone (320) 230-7788
Other names 1
- Nicole M Marti
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
804 23Rd St S
Sartell, MN 56377-4705
Phone (320) 230-7788
Hospital & facility affiliations
- Alomere Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1475 | MN | MD | Marriage & Family Therapist |
| R164197-6 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Pain Management, P.a. | Current | Accepting new patients |
Locations
519 22nd Ave E
Alexandria, MN 56308
Phone (320) 219-7611
15620 Edgewood Dr
Ste 200
Brainerd, MN 56401
Phone (218) 270-3111
166 19th St S
Ste 101
Sartell, MN 56377
Phone (320) 230-7788
804 23rd St S
Sartell, MN 56377
Phone (320) 230-7788
Organizations & group practices 1
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.
-
- Specialist
- Sartell, MN
- NPI 1215977079
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, MN
- NPI 1558236091
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577059200000",
"number": "1467757476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 19TH ST S",
"address_2": "STE 101",
"city": "SARTELL",
"state": "MN",
"postal_code": "563772154",
"telephone_number": "320-230-7788",
"fax_number": "320-230-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 22ND AVE E",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563084652",
"telephone_number": "320-219-7611",
"fax_number": "320-219-7612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITING",
"first_name": "NICOLE",
"middle_name": "M",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-22",
"last_updated": "2019-12-23",
"certification_date": "2019-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R164197-6",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "MARTI",
"middle_name": "M",
"credential": "CNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; 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.