Individual provider Active NPI

Nicholas Austin, M.D.

  • Psychiatry Physician
  • Saint Paul, MN
National Provider Identifier
1831455211
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
58517 Issued in 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
Last updated
Feb 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 58517 MN Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, MN, MI, IL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
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

Care Compare profile

Medicare Care Compare
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 ServicesGroup PAC ID 5496715898, 12 clinicians
Montcalm Care NetworkGroup PAC ID 8123000932, 12 clinicians

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58517MNMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brighter Skies Psychiatry LLC Psychiatry Current Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Dec 10, 2017 Accepting new patients
Metropolitan Family Services Current Accepting new patients
Metropolitan Family Services CurrentSince Dec 1, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center Psychiatry CurrentSince Dec 10, 2017 Accepting new patients
Montcalm Care Network CurrentSince Jul 9, 2025 Accepting new patients
Group Health, Inc. CurrentSince Jun 19, 2023 Accepting new patients
Copper Country Community Mental Health Services Board CurrentSince Sep 13, 2023 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Copper Country Community Mental Health Services Board CurrentSince Sep 13, 2023 Accepting new patients
St. Croix Psychiatric, LLC Psychiatry CurrentSince Dec 11, 2023 Accepting new patients
Group Health, Inc. CurrentSince Jun 19, 2023 Accepting new patients
Metropolitan Family Services CurrentSince Dec 1, 2023 Accepting new patients
Metropolitan Family Services Past Accepting new patients

Locations

101 N Wacker Dr
Fl 17
Chicago, IL 60606
Phone (312) 898-6721

3249 N Central Ave
Chicago, IL 60634
Phone (773) 371-3700

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

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

9400 Zane Ave N
Minneapolis, MN 55443
Phone (763) 383-5800

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

640 Jackson St
Stop 11302C
Saint Paul, MN 55101
Phone (651) 254-4786

1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 1

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1831455211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST.",
            "address_2": "DEPARTMENT OF PSYCHIATRY, MAIL STOP 11302C",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "551013011",
            "telephone_number": "952-883-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "address_2": "DEPARTMENT OF PSYCHIATRY, MAIL STOP 11302C",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "55101",
            "telephone_number": "952-883-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "NICHOLAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "58517",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036138207",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.