NPIMap

Individual provider Active NPI

Michelle Marie Danielson, CNP

  • Family Nurse Practitioner
  • Canby, MN
National Provider Identifier
1477031086
Registry record updated Aug 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6047 Issued in MN
Practice address
112 Saint Olaf Ave S
Canby, MN 56220-1433
Phone
(507) 223-7277
NPI assigned
Aug 6, 2018
Last updated
Aug 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6047 MN Primary

Addresses

Primary practice location

112 Saint Olaf Ave S
Canby, MN 56220-1433

Mailing address

507 Prentis Ave
Vermillion, SD 57069-2517
Phone (605) 638-6256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, SD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181031000139 MN Practitioner - Nurse Practitioner 4880947365 Reassigns benefits to 1 organization
I20190221001703 SD Practitioner - Nurse Practitioner 4880947365 Reassigns benefits to 2 organizations

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 NetworkGroup PAC ID 6800707100, shared by 49 NPIs, 357 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6047MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network Current Accepting new patients
Sanford Health Network CurrentSince Sep 11, 2018 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Health Network CurrentSince Sep 11, 2018 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Health Network CurrentSince Feb 1, 2019 Accepting new patients

Locations

701 3rd Ave S
Clear Lake, SD 57226
Phone (605) 874-2141

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.