Active NPI
Timothy A Soelter, P.A.-C
- Physician Assistant
- Blue Earth, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9407
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 976445300 | Medicaid | MN | |
| HP30650 | Other | MN | HEALTH PARTNERS |
| 127863 | Other | MN | UCARE MN |
| 388G2SO | Other | MN | BLUE CROSS BLUE SHIELD |
| 8827 | Other | MN | AVERA |
| 29D91SO | Other | MN | BLUE CROSS BLUE SHIELD |
| 974311024478 | Other | MN | PREFERREDONE |
| 0113798 | Other | MN | MEDICA |
| 22906 | Other | SANFORD HEALTH | |
| 850268 | Other | MN | AMERICAS PPO |
| 970015283 | Other | MN | RAILROAD 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
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
- Mayo Clinic Health System - Fairmont
- New Ulm Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Specialists | Past | Accepting new patients | |
| United Hospital District Inc. | Past | 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.
-
- Critical Access Hospital
- Blue Earth, MN
- NPI 1952307688
-
- Specialist
- Fairmont, MN
- NPI 1134173644
-
- Family Medicine Physician
- Fairmont, MN
- NPI 1588900864
-
- Rural Health Clinic/Center
- Fairmont, MN
- NPI 1144984766
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Hospital Unit
- New Ulm, MN
- NPI 1346437720
-
- Critical Access Hospital
- New Ulm, MN
- NPI 1558328435
-
- General Acute Care Hospital
- Fairmont, MN
- NPI 1821066499
-
- Critical Access Hospital
- Blue Earth, MN
- NPI 1952307688
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2019; 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.