Individual provider Active NPI

Nicholas Bennett, M.D

  • Hospitalist Physician
  • New Prague, MN
National Provider Identifier
1659725752
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
72235 Issued in MN
Practice address
301 2ND St NE
New Prague, MN 56071-1709
Phone
(952) 758-4431
NPI assigned
Apr 15, 2016
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 15919 ND
Hospitalist Physician 208M00000X 72235 MN Primary

Addresses

Primary practice location

301 2ND St NE
New Prague, MN 56071-1709

Mailing address

PO Box 860912
Minneapolis, MN 55486-0912
Phone (507) 284-2511

Other practice location 1

1200 S Columbia Rd- Altru Hospital
Grand Forks, ND 58201-4036
Phone (701) 780-5000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nbennett96407@direct.directaltru.org Direct
Direct Messaging Address nbennett2527599@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191003001347 ND Practitioner - HospitalistPractitioner - Internal Medicine 6002102001 Reassigns benefits to 2 organizations
I20230811000618 MN Practitioner - Hospitalist 6002102001 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Florida College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayo Clinic Health System-Southwest Minnesota RegionGroup PAC ID 4688585771, shared by 6 NPIs, 658 clinicians
Mayo Clinic Health System-St JamesGroup PAC ID 9537170352, shared by 3 NPIs, 77 clinicians
Altru Health SystemGroup PAC ID 1355251604, 675 clinicians
Mayo Clinic Health System-Lake CityGroup PAC ID 1951213487, shared by 4 NPIs, 70 clinicians

Practice addresses (Care Compare)

1025 Marsh St
Mankato, MN 56001-4752
Phone (507) 625-4031

1101 Moulton and Parsons Dr
Saint James, MN 56081-5550
Phone (507) 375-3261

1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-5000

500 W Grant St
Lake City, MN 55041-1143
Phone (651) 345-3321

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15919NDMDInternal Medicine Physician
72235MNMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital of Devils Lake CurrentSince Jul 27, 2020 Accepting new patients
Mercy Hospital of Devils Lake Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Jul 28, 2025 Accepting new patients
Mayo Clinic Health System-Lake City CurrentSince Sep 27, 2025 Accepting new patients
Mayo Clinic Health System-St James CurrentSince Jul 28, 2025 Accepting new patients
Mayo Clinic Health System-St James Current Accepting new patients
Mercy Hospital of Devils Lake CurrentSince Jul 27, 2020 Accepting new patients
Mayo Clinic Health System-Lake City CurrentSince Sep 27, 2025 Accepting new patients
Mayo Clinic Health System-Fairmont CurrentSince Jul 28, 2025 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Jul 28, 2025 Accepting new patients
Sanford Health of Northern Minnesota Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Altru Health System Internal Medicine CurrentSince Sep 1, 2019 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Altru Health System CurrentSince Sep 1, 2019 Accepting new patients

Locations

3290 Solutions Ctr
Chicago, IL 60677

1611 Anne St NW
Bemidji, MN 56601
Phone (218) 333-2020

800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100

500 W Grant St
Lake City, MN 55041
Phone (651) 345-3321

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

301 2nd St NE
New Prague, MN 56071
Phone (952) 758-4431

1101 Moulton and Parsons Dr
Saint James, MN 56081
Phone (507) 375-3261

501 State St N
Waseca, MN 56093
Phone (507) 835-1210

1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131

1200 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 780-5243

1380 S Columbia Rd
Grand Forks, ND 58201
Phone (701) 795-2000

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

Interoperability endpoints

  • Direct secure messaging: nbennett96407@direct.directaltru.org
  • Direct secure messaging: nbennett2527599@ehrdirect.mayoclinicmsg.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1659725752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860912",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860912",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 2ND ST NE",
            "city": "NEW PRAGUE",
            "state": "MN",
            "postal_code": "560711709",
            "telephone_number": "952-758-4431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Columbia Rd- Altru Hospital",
            "address_purpose": "LOCATION",
            "city": "Grand Forks",
            "state": "ND",
            "postal_code": "582014036",
            "country_code": "US",
            "telephone_number": "701-780-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "NICHOLAS",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-15",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ND",
            "license": "15919",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "72235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbennett96407@direct.directaltru.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1200 S Columbia Rd- Altru Hospital",
            "city": "Grand Forks",
            "state": "ND",
            "country_code": "US",
            "postal_code": "582014036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbennett2527599@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "301 2nd St NE",
            "city": "New Prague",
            "state": "MN",
            "country_code": "US",
            "postal_code": "560711709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Prague, MN

Sources for this page

Verify at the official NPI Registry.