Individual provider Active NPI

Patrick Schoenecker, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Vadnais Heights, MN
National Provider Identifier
1689132185
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
6465 Issued in MN
Practice address
3640 Talmage Cir Ste 216
Vadnais Heights, MN 55110-7100
Phone
(952) 431-5330
NPI assigned
Mar 4, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 6465 MN Primary

Addresses

Primary practice location

3640 Talmage Cir Ste 216
Vadnais Heights, MN 55110-7100

Mailing address

PO Box 92
Mound, MN 55364-0092
Phone (952) 836-7849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190513000887 MN Practitioner - Nurse Practitioner 9335482439 Reassigns benefits to 3 organizations
I20240208002596 WI Practitioner - Nurse Practitioner 9335482439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Danielle Golden, Crna, PAGroup PAC ID 6305934597, 30 clinicians

Practice addresses (Care Compare)

501 E Nicollet Blvd
Suite 120
Burnsville, MN 55337-6772
Phone (952) 431-5330

707 Rodeo Dr
Suite 114
Hudson, WI 54016-7757
Phone (952) 431-5330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13989WIMDAddiction (Substance Use Disorder) Counselor
6465MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Group Health, Inc. CurrentSince Feb 1, 2022 Accepting new patients
Nystrom & Associates, LTD CurrentSince Jun 1, 2019 Accepting new patients
Danielle Golden, Crna, PA CurrentSince Aug 18, 2021 Accepting new patients

Locations

501 E Nicollet Blvd
Ste 120
Burnsville, MN 55337
Phone (612) 273-2897

14551 Judicial Rd
Burnsville, MN 55306
Phone 9528985020 ext. 129

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

13100 Wayzata Blvd
Ste 200
Minnetonka, MN 55305
Phone (952) 206-2040

1900 Silver Lake Rd NW
Ste 110
Saint Paul, MN 55112
Phone (651) 379-1718

3555 Willow Lake Blvd
Ste 290
Vadnais Heights, MN 55110

3640 Talmage Cir
Ste 216
Vadnais Hts, MN 55110
Phone (651) 379-4006

Organizations & group practices 4

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": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1689132185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 92",
            "city": "MOUND",
            "state": "MN",
            "postal_code": "553640092",
            "telephone_number": "952-836-7849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3640 TALMAGE CIR STE 216",
            "city": "VADNAIS HEIGHTS",
            "state": "MN",
            "postal_code": "551107100",
            "telephone_number": "952-431-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENECKER",
        "first_name": "PATRICK",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-04",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "6465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vadnais Heights, MN

Sources for this page

Verify at the official NPI Registry.