Nicholas Austin, M.D.
Individual provider Active NPI Psychiatry Physician · Saint Paul, MN
NPI 1831455211 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1831455211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 58517 (MN)
- Practice address
- 640 Jackson St
Department of Psychiatry, Mail Stop 11302C
Saint Paul, MN 55101 - Phone
- (952) 883-5202
- NPI assigned
- Apr 10, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- University of Minnesota Medical School, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Metropolitan Family Services
Montcalm Care Network
Practice addresses (Care Compare)
11560 S Kedzie Ave
Suite 200
Merrionette Park, IL 60803-4517
Phone (312) 986-4000
611 N State St
Stanton, MI 48888-9702
Phone (989) 831-7520
Hospital & facility affiliations
- Up Health System Portage
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (4 enrollments) in OR, MN, MI, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180112001776 | OR | Practitioner - Psychiatry | 6800199183 | Reassigns benefits to 1 organization |
| I20230601000822 | MN | Practitioner - Psychiatry | 6800199183 | Reassigns benefits to 2 organizations |
| I20230925000953 | MI | Practitioner - Psychiatry | 6800199183 | Reassigns benefits to 2 organizations |
| I20240105002957 | IL | Practitioner - Psychiatry | 6800199183 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Croix Psychiatric, LLC | Psychiatry | Current |
Accepting new patients |
| Legacy Emanuel Hospital & Health Center | Psychiatry | Current |
Accepting new patients |
| Copper Country Community Mental Health Services | Current |
Accepting new patients | |
| Copper Country Community Mental Health Services | Current |
Accepting new patients | |
| Brighter Skies Psychiatry LLC | Psychiatry | Current | Accepting new patients |
| Metropolitan Family Services | Current |
Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current |
Accepting new patients | |
| Montcalm Care Network | Current |
Accepting new patients | |
| Metropolitan Family Services | Current | Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Metropolitan Family Services | Current |
Accepting new patients | |
| Group Health, Inc. | Current |
Accepting new patients | |
| Metropolitan Family Services | Past | Accepting new patients |
Locations
3249 N Central Ave
Chicago, IL 60634
Phone (773) 371-3700
101 N Wacker Dr
Fl 17
Chicago, IL 60606
Phone (773) 520-1370
11560 S Kedzie Ave
Ste 200
Merrionette Park, IL 60803
Phone (708) 974-5800
222 E Willow Ave
Wheaton, IL 60187
Phone (630) 682-1802
15644 Skanee Rd
Lanse, MI 49946
Phone (906) 524-5885
611 N State St
Stanton, MI 48888
Phone (989) 831-7520
9400 Zane Ave N
Minneapolis, MN 55443
Phone (763) 383-5800
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600
640 Jackson St
Stop 11302C
Saint Paul, MN 55101
Phone (651) 254-2300
640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 58517 | MN | Yes |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036138207 | IL |
Addresses
Primary practice location
640 Jackson St
Department of Psychiatry, Mail Stop 11302C
Saint Paul, MN 55101
Mailing address
640 Jackson St.
Department of Psychiatry, Mail Stop 11302C
St. Paul, MN 55101-3011
Phone (952) 883-5202
Other providers in Saint Paul, MN
- Austin Family Dental LTD
- Amy Austin
- Kim Marie Austin
- Kimberlyn Jody Austin
- Louis Thomas Austin
- Amy Ashley Authement
- Autism Center
- Autism Society of Minnesota
- Allen W Autrey
- Avalon Programs, LLC
All providers in Saint Paul, MN · Psychiatry Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.