Nina Kristine Appleby, D.O.

Individual provider Active NPI Family Medicine Physician · Glencoe, MN

NPI 1538548003 · NPPES record last updated Nov 24, 2020

Key facts

NPI
1538548003
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
60654 (MN)
Practice address
1805 Hennepin Ave N
Glencoe, MN 55336-1416
Phone
(320) 864-3121
NPI assigned
May 29, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glencoe Regional Health Services (45 clinicians)

Practice addresses (Care Compare)

1805 Hennepin Ave N
Glencoe, MN 55336-1416
Phone (320) 864-3121

Hospital & facility affiliations

  • Glencoe Regional Health Hospital · Glencoe, MN · CCN 241355
  • Glencoe Regional Health Nursing home · CCN 24Z355
  • Glenfields Living With Care Nursing home · Glencoe, MN · CCN 245263

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20160725001789 MN Practitioner - Family Practice 5597076737 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Glencoe Regional Health Services Current
since Oct 1, 2018
Accepting new patients
Glencoe Regional Health Services Current
since Oct 1, 2018
Accepting new patients

Locations

1805 Hennepin Ave N
Glencoe, MN 55336
Phone (320) 864-3121

300 Bowman St
Stewart, MN 55385
Phone (320) 562-2558

Interoperability endpoints

  • Direct secure messaging: nappleby268616@excellian.direct.allina.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MN
Family Medicine Physician 207Q00000X 60654 MN Yes

Addresses

Primary practice location

1805 Hennepin Ave N
Glencoe, MN 55336-1416

Mailing address

1805 Hennepin Ave N
Glencoe, MN 55336-1416

Other practice location 1

200 1st St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address nappleby268616@excellian.direct.allina.com Direct

Other providers in Glencoe, MN

All providers in Glencoe, MN · Family Medicine Physician in Minnesota

Sources for this page

Verify at the official NPI Registry.