Individual provider Active NPI

Mandy A Hoffmann Miller

  • Advanced Practice Midwife
  • Minneapolis, MN
National Provider Identifier
1649985979
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
531 Issued in MN
Practice address
2606 Chicago Ave
Minneapolis, MN 55407-3706
Phone
(612) 545-5311
NPI assigned
Jan 20, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 531 MN Primary

Addresses

Primary practice location

2606 Chicago Ave
Minneapolis, MN 55407-3706

Mailing address

2606 Chicago Ave
Minneapolis, MN 55407-3706

Other practice location 1

347 Smith Ave N Ste 203
Saint Paul, MN 55102-2388
Phone (651) 241-7733

Other practice location 2

624 Smith Ave S
Saint Paul, MN 55107-2620
Phone (651) 689-3988

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mhoffmannmiller351527@excellian.direct.allina.com Direct

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240125003562 MN Practitioner - Certified Nurse Midwife (CNM) 3375996374 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians

Practice addresses (Care Compare)

347 Smith Ave N
Suite 203
St Paul, MN 55102-2388
Phone (651) 241-7733

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
531MNMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System Current Accepting new patients
Allina Health System CurrentSince Mar 11, 2024 Accepting new patients
Allina Health System CurrentSince Mar 11, 2024 Accepting new patients
Allina Health System Past Accepting new patients
Allina Health System Past Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

347 Smith Ave N
Ste 203
Saint Paul, MN 55102
Phone (651) 241-7733

14655 Galaxie Ave
Saint Paul, MN 55124
Phone (952) 432-4141

8675 Valley Creek Rd
Woodbury, MN 55125
Phone (651) 241-3000

Interoperability endpoints

  • Direct secure messaging: mhoffmannmiller351527@excellian.direct.allina.com

Organizations & group practices 5

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": "1674172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1649985979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2606 CHICAGO AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554073706",
            "telephone_number": "612-545-5311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "347 Smith Ave N Ste 203",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022388",
            "country_code": "US",
            "telephone_number": "651-241-7733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "624 Smith Ave S",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551072620",
            "country_code": "US",
            "telephone_number": "651-689-3988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOFFMANN MILLER",
        "first_name": "MANDY",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-20",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhoffmannmiller351527@excellian.direct.allina.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/PDF/TXT",
            "address_1": "347 Smith Ave N Ste 203",
            "city": "Saint Paul",
            "state": "MN",
            "country_code": "US",
            "postal_code": "551022388",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.