Active NPI
Carrie Elizabeth Neerland, CNM
- Advanced Practice Midwife
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- R 158206-4
- Practice address
- University of Minnesota Physicians
606 24TH Avenue South, Suite 300
Minneapolis, MN 55454 - Phone
- (612) 273-7112
- NPI assigned
- Jun 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | R 158206-4 | MN | Primary |
Addresses
Primary practice location
University of Minnesota Physicians
606 24TH Avenue South, Suite 300
Minneapolis, MN 55454
Mailing address
University of Minnesota Physicians
420 Delaware Street SE, MMC 395
Minneapolis, MN 55455
Phone (612) 626-3111
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07-00036 | Other | MN | MEDICA PRIMARY |
| 07-04717 | Other | MN | MEDICA CHOICE |
| 4308157 | Medicaid | MT | |
| 1046683 | Other | MN | PREFERRED ONE |
| B066 | Other | MN | CHAMPUS |
| HP62528 | Other | MN | HEALTHPARTNERS |
Other names 1
- Carrie Elizabeth Chicos
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 158206-4 | MN | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Minnesota Physicians | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients | |
| Cardiothoracic Surgery Clinic of North Ms | Past | Accepting new patients | |
| Fairview Health Services | Past | Accepting new patients |
Locations
606 24th Ave S
Ste 300
Minneapolis, MN 55454
Phone (612) 273-7111
516 Delaware St SE
Minneapolis, MN 55455
Phone (612) 625-3600
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
720 Washington Ave SE
Minneapolis, MN 55414
Phone (612) 883-0649
606 24th Ave S
Ste 400
Minneapolis, MN 55454
Phone (612) 273-2223
2001 Bloomington Ave
Minneapolis, MN 55404
Phone (612) 301-3433
720 Washington Ave SE
Ste 300
Minneapolis, MN 55414
Phone (612) 884-0769
909 Fulton St SE
Minneapolis, MN 55455
Phone (612) 273-8383
420 Delaware St SE
#395
Minneapolis, MN 55455
Phone (612) 301-3417
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
Interoperability endpoints
- cneerland192143@fairview.direct-ci.com
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1053952606
-
- Multi-Specialty Clinic/Center
- Minneapolis, MN
- NPI 1477598118
-
- Clinic/Center
- Minneapolis, MN
- NPI 1053795187
-
- Physical Therapist
- Eagan, MN
- NPI 1881141349
-
- General Acute Care Hospital
- Minneapolis, MN
- NPI 1013994359
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Tupelo, MS
- NPI 1154533321
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1689601783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "UNIVERSITY OF MINNESOTA PHYSICIANS",
"address_2": "420 DELAWARE STREET SE, MMC 395",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55455",
"telephone_number": "612-626-3111",
"fax_number": "612-626-0665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "UNIVERSITY OF MINNESOTA PHYSICIANS",
"address_2": "606 24TH AVENUE SOUTH, SUITE 300",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "55454",
"telephone_number": "612-273-7112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEERLAND",
"first_name": "CARRIE",
"middle_name": "ELIZABETH",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "MN",
"license": "R 158206-4",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA PRIMARY",
"identifier": "07-00036",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA CHOICE",
"identifier": "07-04717",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4308157",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1046683",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS",
"identifier": "B066",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHPARTNERS",
"identifier": "HP62528",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARRIE",
"last_name": "CHICOS",
"middle_name": "ELIZABETH",
"credential": "CNM",
"code": "1",
"type": "Former Name"
}
]
}
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 Jul 13, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.