Active NPI
Michelle Marie Danielson, CNP
- Family Nurse Practitioner
- Canby, MN
National Provider Identifier
1477031086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 6047
- Practice address
- 112 Saint Olaf Ave S
Canby, MN 56220-1433 - Phone
- (507) 223-7277
- NPI assigned
- Aug 6, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- Rural Health Clinic/Center
- Mountain Lake, MN
- NPI 1568469039
-
- Critical Access Hospital
- Canby, MN
- NPI 1780781054
-
- Family Medicine Physician
- Vermillion, SD
- NPI 1013921733
-
- Rural Health Clinic/Center
- Ipswich, SD
- NPI 1962459842
-
- Family Medicine Physician
- Boyden, IA
- NPI 1679726111
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Canby, MN
- NPI 1508950775
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Health Network
Practice addresses (Care Compare)
112 Saint Olaf Ave S
Canby, MN 56220-1433
Phone (507) 223-7277
701 3Rd Ave S
Clear Lake, SD 57226-2016
Phone (605) 874-8484
Hospital & facility affiliations
- Sanford Canby Medical Center Home Care
- Sanford Canby Medical Center
- Sanford Clear Lake Medical Center
- Sanford Usd Medical Center
- Sanford Canby Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.53 of 100
- Quality
- 80.98
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181031000139 | MN | Practitioner - Nurse Practitioner | 4880947365 | Reassigns benefits to 1 organization |
| I20190221001703 | SD | Practitioner - Nurse Practitioner | 4880947365 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6047 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Current | Accepting new patients | |
| Sanford Health Network | Past | Accepting new patients |
Locations
701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6047 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
112 Saint Olaf Ave S
Canby, MN 56220-1433
Mailing address
507 Prentis Ave
Vermillion, SD 57069-2517
Phone (605) 638-6256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 6, 2018.
{
"created_epoch": "1533513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1477031086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 PRENTIS AVE",
"city": "VERMILLION",
"state": "SD",
"postal_code": "570692517",
"telephone_number": "605-638-6256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 SAINT OLAF AVE S",
"city": "CANBY",
"state": "MN",
"postal_code": "562201433",
"telephone_number": "507-223-7277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELSON",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-06",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "6047",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canby, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.