Individual provider Active NPI

Timothy A Soelter, P.A.-C

  • Physician Assistant
  • Blue Earth, MN
National Provider Identifier
1780654079
Registry record updated Jun 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9407 Issued in MN
Practice address
515 South Moore Street
Blue Earth, MN 56013
Phone
(507) 526-3273
Fax
(507) 526-7724
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 9407 MN Primary

Addresses

Primary practice location

515 South Moore Street
Blue Earth, MN 56013

Mailing address

458 Kings Road
Fairmont, MN 56031-2116
Phone (507) 236-5295

Other identifiers 11

IdentifierTypeStateIssuer
976445300MedicaidMN
HP30650OtherMNHEALTH PARTNERS
127863OtherMNUCARE MN
388G2SOOtherMNBLUE CROSS BLUE SHIELD
8827OtherMNAVERA
29D91SOOtherMNBLUE CROSS BLUE SHIELD
974311024478OtherMNPREFERREDONE
0113798OtherMNMEDICA
22906OtherSANFORD HEALTH
850268OtherMNAMERICAS PPO
970015283OtherMNRAILROAD MEDICARE

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050106000754 MN Practitioner - Physician Assistant 4183672124 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
United Hospital District IncGroup PAC ID 6204158884, 50 clinicians

Practice addresses (Care Compare)

1950 Ctr Creek Dr
Fairmont, MN 56031-3428
Phone (507) 238-1287

515 S Moore St
Blue Earth, MN 56013-2158
Phone (507) 526-7388

PO Box
Suite 160
Blue Earth, MN 56013-0160

Hospital & facility affiliations

  • United Hospital District Hospital, Blue Earth, MN, CCN 241369
  • Mayo Clinic Health System - Fairmont Hospital, Fairmont, MN, CCN 240166
  • New Ulm Medical Center Hospital, New Ulm, MN, CCN 241378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Specialists Past Accepting new patients
United Hospital District Inc. PastSince Oct 31, 2021 Accepting new patients

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.

Hospital & facility affiliations 6

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561507200000",
    "number": "1780654079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 KINGS ROAD",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560312116",
            "telephone_number": "507-236-5295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 SOUTH MOORE STREET",
            "city": "BLUE EARTH",
            "state": "MN",
            "postal_code": "56013",
            "telephone_number": "507-526-3273",
            "fax_number": "507-526-7724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOELTER",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2019-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "9407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "976445300",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "HP30650",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE MN",
            "identifier": "127863",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "388G2SO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVERA",
            "identifier": "8827",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "29D91SO",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "974311024478",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "0113798",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANFORD HEALTH",
            "identifier": "22906",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAS PPO",
            "identifier": "850268",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970015283",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Earth, MN

Sources for this page

Verify at the official NPI Registry.