Active NPI
Nicole Marie Entenmann, DO
- Emergency Medicine Physician
- Rochester, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- DO2026-0112
- Practice address
- 200 1St St SW
Rochester, MN 55905-0001 - Phone
- (507) 284-2511
- NPI assigned
- Apr 28, 2023
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | DO2026-0112 | NM | Primary |
| Emergency Medicine Physician | 207P00000X | 81993 | WI | |
| Emergency Medicine Physician | 207P00000X | 77470 | MN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | NM | ||
| Emergency Medicine Physician | 207P00000X | 33402 | MN |
Addresses
Primary practice location
200 1St St SW
Rochester, MN 55905-0001
Mailing address
800 Bradbury Dr SE Ste 116
Albuquerque, NM 87106-4310
Other practice location 1
1650 4th St SE
Rochester, MN 55904-4717
Phone (507) 529-6600
Other practice location 2
700 West Ave S
La Crosse, WI 54601-8806
Phone (608) 785-0940
Other practice location 3
1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-5062
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SRMC@direct.health.unm.edu | ||
| Direct Messaging Address | UNMMG@direct.health.unm.edu | ||
| Direct Messaging Address | UNMH@direct.health.unm.edu |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 W Ave S
La Crosse, WI 54601-8806
Phone (608) 785-0940
Hospital & facility affiliations
- Mayo Clinic Health System-Franciscan Medical Center Inc
- Mayo Clinic Hospital Rochester
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33402 | MN | MD | Emergency Medicine Physician |
| 77470 | MN | MD | Emergency Medicine Physician |
| 81993 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Mayo Clinic | Current | Accepting new patients | |
| Mayo Clinic Health System-Southwest Wisconsin Region, Inc. | Current | Accepting new patients | |
| Olmsted Medical Center | Current | Accepting new patients |
Locations
1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623
1650 4th St SE
Rochester, MN 55904
Phone (507) 285-8485
210 9th St SE
Rochester, MN 55904
Phone (507) 529-6616
200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850
800 West Ave S
La Crosse, WI 54601
Phone (608) 372-5951
700 West Ave S
La Crosse, WI 54601
Phone (608) 791-4156
800 E Blackhawk Ave
Prairie du Chien, WI 53821
Phone (608) 326-0808
Interoperability endpoints
- nentenmann26716@direct.olmmed.org
Organizations & group practices 7
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
- La Crosse, WI
- NPI 1629056049
-
- Multi-Specialty Clinic/Center
- Rochester, MN
- NPI 1922074434
-
- Clinic/Center
- Rochester, MN
- NPI 1952356297
-
- Multi-Specialty Clinic/Center
- Mankato, MN
- NPI 1578545422
-
- Clinical Medical Laboratory
- Rochester, MN
- NPI 1083249577
-
- Infectious Disease Physician
- Rochester, MN
- NPI 1114343860
-
- Multi-Specialty Clinic/Center
- La Crosse, WI
- NPI 1942980917
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rochester, MN
- NPI 1841266194
-
- General Acute Care Hospital
- La Crosse, WI
- NPI 1801874227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784764800000",
"number": "1699463448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 BRADBURY DR SE STE 116",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 1ST ST SW",
"city": "ROCHESTER",
"state": "MN",
"postal_code": "559050001",
"telephone_number": "507-284-2511"
}
],
"practiceLocations": [
{
"address_1": "1650 4th St SE",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "MN",
"postal_code": "559044717",
"country_code": "US",
"telephone_number": "507-529-6600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "700 West Ave S",
"address_purpose": "LOCATION",
"city": "La Crosse",
"state": "WI",
"postal_code": "546018806",
"country_code": "US",
"telephone_number": "608-785-0940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 University Of New Mexico",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871310001",
"country_code": "US",
"telephone_number": "505-272-5062",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENTENMANN",
"first_name": "NICOLE",
"middle_name": "MARIE",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-28",
"last_updated": "2026-07-23",
"certification_date": "2026-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NM",
"license": "DO2026-0112",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "WI",
"license": "81993",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "77470",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MN",
"license": "33402",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SRMC@direct.health.unm.edu",
"affiliation": "N",
"address_1": "3001 Broadmoor Blvd NE",
"city": "Rio Rancho",
"state": "NM",
"country_code": "US",
"postal_code": "871442100",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UNMMG@direct.health.unm.edu",
"affiliation": "N",
"address_1": "800 Bradbury Dr SE ste 116",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871064310",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "UNMH@direct.health.unm.edu",
"affiliation": "N",
"address_1": "2211 Lomas Blvd NE",
"city": "Albuquerque",
"state": "NM",
"country_code": "US",
"postal_code": "871062719",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rochester, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.