Brian D Niskanen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

44785 Issued in MN

Practice address

301 Highway 65 S
Mora, MN 55051-1899

Phone

(320) 679-1212

NPI assigned

Mar 28, 2006

Last updated

Nov 11, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Family PracticeAlso: Emergency Medicine

Education

University of Minnesota Medical School, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Welia HealthGroup PAC ID 6709295496, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Welia Health Hospital, Mora, MN, CCN 241367
• Welia Health Nursing home, CCN 24Z367

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bniskanen94107@excellian.direct.allina.com

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.

• Welia Health

  • Critical Access Hospital
  • Mora, MN
  • NPI 1528031390
  Medicare reassignment Care Compare group NPD
• Welia Health

  • Rural Health Clinic/Center
  • Hinckley, MN
  • NPI 1073821468
  NPD

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

• Welia Health

  • Critical Access Hospital
  • Mora, MN
  • NPI 1528031390
  Care Compare affiliation
• Welia Health

  • Medicare Defined Swing Bed Hospital Unit
  • Mora, MN
  • NPI 1578537023

  Nursing home

  Care Compare affiliation
• Welia Health

  • Critical Access Hospital Clinic/Center
  • Mora, MN
  • NPI 1972811362
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1598725970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 65 S",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511899",
            "telephone_number": "320-679-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 HIGHWAY 65 S",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511899",
            "telephone_number": "320-679-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISKANEN",
        "first_name": "BRIAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "44785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bniskanen94107@excellian.direct.allina.com",
            "affiliation": "Y",
            "affiliationName": "Welia Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "301 Highway 65 S",
            "city": "Mora",
            "state": "MN",
            "country_code": "US",
            "postal_code": "550511899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Whitney Naumann, APRN
• Katie Lynn Nelson, MA, LPCC
• Mark Albert Nelson Jr., DPT, CSCS
• Neve Inc (Avada Audiology & Hearing Care)
• Jennifer Niedzielski, PTA
• Jason Nordby, CMT
• Julie O'Connor
• Mandy Odencrans, ATC
• Jessica Olen
• Allison E Olson, LPCC

• Family Medicine Physician in Mora, MN
• Providers in Mora, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; 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.

Verify at the official NPI Registry.