Active NPI
Elizabeth Louise Fiedler
- Family Nurse Practitioner
- Saint Cloud, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7033
- Practice address
- 1555 Northway Dr Ste 200
Saint Cloud, MN 56303-4913 - Phone
- (320) 240-3157
- NPI assigned
- Sep 27, 2019
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MN | ||
| Family Nurse Practitioner | 363LF0000X | 7033 | MN | Primary |
Addresses
Primary practice location
1555 Northway Dr Ste 200
Saint Cloud, MN 56303-4913
Mailing address
8664 360TH St
Saint Joseph, MN 56374-9708
Phone (507) 530-6677
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
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1555 Northway Dr
100 Centra Care Clinic Northway Family
St Cloud, MN 56303-1258
Phone (320) 251-1775
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients |
Locations
12800 Rolling Ridge Rd
Becker, MN 55308
Phone (763) 261-7000
1555 Northway Dr
Ste 200
Saint Cloud, MN 56303
Phone (320) 240-3157
1555 Northway Dr
Ste 100
Saint Cloud, MN 56303
Phone (320) 240-3114
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
1200 6th Ave N
Saint Cloud, MN 56303
Phone (320) 252-3342
Interoperability endpoints
- efiedler492024@direct.centracare.com
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.
-
- Multi-Specialty Clinic/Center
- St Cloud, MN
- NPI 1043212665
-
- Occupational Medicine Clinic/Center
- Saint Cloud, MN
- NPI 1366192759
-
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1407858020
-
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1851942007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8664 360TH ST",
"city": "SAINT JOSEPH",
"state": "MN",
"postal_code": "563749708",
"telephone_number": "507-530-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 NORTHWAY DR STE 200",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563034913",
"telephone_number": "320-240-3157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIEDLER",
"first_name": "ELIZABETH",
"middle_name": "LOUISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-27",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MN",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MN",
"license": "7033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.