Active NPI
Ellen Giere, C.F.N.P.
- Family Nurse Practitioner
- Lake Elmo, MN
National Provider Identifier
1851371462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R 187349-8
- Practice address
- 8645 Eagle Point Blvd
Lake Elmo, MN 55042-8628 - Phone
- (651) 493-2890
- NPI assigned
- Jan 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 190617 | MA | |
| Family Nurse Practitioner | 363LF0000X | R 187349-8 | MN | Primary |
Addresses
Primary practice location
8645 Eagle Point Blvd
Lake Elmo, MN 55042-8628
Mailing address
12678 Dover Dr
Apple Valley, MN 55124-8668
Phone (952) 388-1053
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 190617 | Other | MA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 187349-8 | MN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Gino Mercadante, P.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Ludlow, MA
- NPI 1285828939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1234137600000",
"number": "1851371462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12678 DOVER DR",
"city": "APPLE VALLEY",
"state": "MN",
"postal_code": "551248668",
"telephone_number": "952-388-1053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8645 EAGLE POINT BLVD",
"city": "LAKE ELMO",
"state": "MN",
"postal_code": "550428628",
"telephone_number": "651-493-2890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIERE",
"first_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "C.F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2009-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "190617",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "R 187349-8",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "190617",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elmo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.