Active NPI
Nicholas B Reed, NP
- Nurse Practitioner
- Duluth, MN
National Provider Identifier
1609600568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 11147
- Practice address
- 1016 N 22ND Ave W
Duluth, MN 55806-1243 - Phone
- (218) 464-8793
- NPI assigned
- Aug 31, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 11147 | MN | Primary |
Addresses
Primary practice location
1016 N 22ND Ave W
Duluth, MN 55806-1243
Mailing address
1016 N 22ND Ave W
Duluth, MN 55806-1243
Phone (218) 464-8793
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260604003412 | MN | Practitioner - Nurse Practitioner | 7012488653 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Promed Preferred MN PLLC
Practice addresses (Care Compare)
202 N Cedar Ave
Owatonna, MN 55060-2306
Phone (845) 738-8770
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11147 | MN | MD | Nurse Practitioner |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725062400000",
"number": "1609600568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1016 N 22ND AVE W",
"city": "DULUTH",
"state": "MN",
"postal_code": "558061243",
"telephone_number": "218-464-8793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1016 N 22ND AVE W",
"city": "DULUTH",
"state": "MN",
"postal_code": "558061243",
"telephone_number": "218-464-8793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REED",
"first_name": "NICHOLAS",
"middle_name": "B",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-31",
"last_updated": "2024-08-31",
"certification_date": "2024-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MN",
"license": "11147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; 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.