Active NPI
Mindy Carleen Fadell, NP
- Pediatric Nurse Practitioner
- Minneapolis, MN
National Provider Identifier
1598793366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- R 146946-2
- Practice address
- 424 Harvard St SE
, First Floor, Suite M100
Minneapolis, MN 55455-0362 - Phone
- (612) 625-5411
- NPI assigned
- Jun 29, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | R 146946-2 | MN | |
| Pediatric Nurse Practitioner | 363LP0200X | R 146946-2 | MN | Primary |
Addresses
Primary practice location
424 Harvard St SE
, First Floor, Suite M100
Minneapolis, MN 55455-0362
Mailing address
420 Delaware St SE
University of Minnesota Physicians, MMC 484
Minneapolis, MN 55455-0341
Phone (612) 626-2778
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12-03118 | Other | MN | MEDICA CHOICE |
| HP49138 | Other | MN | HEALTHPARTNERS |
| 2298999 | Other | MN | ARAZ |
| 12-09026 | Other | MN | MEDICA PRIMARY |
| 132557 | Other | MN | UCARE |
| 1042817 | Other | MN | PREFERRED ONE |
| 4304352 | Medicaid | MT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 146946-2 | MN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1598793366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 DELAWARE ST SE",
"address_2": "UNIVERSITY OF MINNESOTA PHYSICIANS, MMC 484",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550341",
"telephone_number": "612-626-2778",
"fax_number": "612-626-2815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 HARVARD ST SE",
"address_2": ", FIRST FLOOR, SUITE M100",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554550362",
"telephone_number": "612-625-5411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FADELL",
"first_name": "MINDY",
"middle_name": "CARLEEN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "R 146946-2",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MN",
"license": "R 146946-2",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE",
"identifier": "12-03118",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP49138",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "2298999",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "12-09026",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "132557",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1042817",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4304352",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.