Esther Marie Doele, C-FNP

Key facts

NPI

1730191990

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

R1073913 (MN)

Practice address

14133 Edgewood Dr
Baxter, MN 56425-8462

Phone

(218) 454-5802

Fax

(507) 223-7465

NPI assigned

Aug 13, 2006

Sex

Female

Sole proprietor

No

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.

• Select Urgent Care LLC Clinic/Center · Baxter, MN · NPI 1952063158
  Medicare reassignment Care Compare group NPD MN
• Grand Itasca Clinic and Hospital General Acute Care Hospital · Grand Rapids, MN · NPI 1669426631
  Medicare reassignment NPD MN
• Sanford Health Network Family Medicine Physician · Tracy, MN · NPI 1699869875
  Medicare reassignment NPD MN
• Grand Itasca Clinic and Hospital Community/Retail Pharmacy · Grand Rapids, MN · NPI 1225441157
  NPD
• Sanford Health Network Rural Health Clinic/Center · Mountain Lake, MN · NPI 1568469039
  NPD
• Sanford Health Network Rural Acute Care Hospital · Worthington, MN · NPI 1679859912
  NPD

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Urgent Care LLC (14 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in MN

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

No

HHS exclusion list flag

The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/28265/brand/1/csg/1/fhir/r4
• Direct secure messaging: esther.doele.1@28265.direct.athenahealth.com

Specialties & licenses

Addresses

Other identifiers

Other names

• Esther Marie Wieler Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 7, 2016.

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1730191990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 N 3RD ST",
            "city": "BRAINERD",
            "state": "MN",
            "postal_code": "564013054",
            "telephone_number": "218-829-2861",
            "fax_number": "507-223-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14133 EDGEWOOD DR",
            "city": "BAXTER",
            "state": "MN",
            "postal_code": "564258462",
            "telephone_number": "218-454-5802",
            "fax_number": "507-223-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOELE",
        "first_name": "ESTHER",
        "middle_name": "MARIE",
        "credential": "C-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-13",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R1073913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807960900",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ESTHER",
            "last_name": "WIELER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baxter, MN

• Rebecca Dewolf
• Tyler Anthony Dickinson, DPT
• Jennifer Marie Dickson
• Michael G Didier, PA-C
• Timothy Glenn Dirks, MD
• Jeffrey Alan Donatelle
• Samantha Marie Doree
• Christine Dotzenrod Childress
• Mary Margaret Doucette
• Dr. Jeanni R. Foss DDS LLC

All providers in Baxter, MN · Family Nurse Practitioner in Minnesota