Individual provider Active NPI

Alicia Marie Reed, APRN

  • Family Nurse Practitioner
  • Northfield, MN
National Provider Identifier
1881373041
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10454 Issued in MN
Practice address
2014 Jefferson Rd Ste C
Northfield, MN 55057-3251
Phone
(507) 646-6700
NPI assigned
Jul 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 10454 MN Primary

Addresses

Primary practice location

2014 Jefferson Rd Ste C
Northfield, MN 55057-3251

Mailing address

2000 North Ave
Northfield, MN 55057-1697

Other practice location 1

9974 214th St W
Lakeville, MN 55044-1913
Phone (952) 469-0500

Other names 1

  • Alicia Marie Mickelson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824001631 MN Practitioner - Nurse Practitioner 8628431681 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northfield Hospital CurrentSince Mar 17, 2024 Accepting new patients
Northfield Hospital Current Accepting new patients
Northfield Hospital Past Accepting new patients
Northfield Hospital Past Accepting new patients

Locations

4645 Knutsen Dr
Farmington, MN 55024
Phone (651) 460-2300

9974 214th St W
Lakeville, MN 55044
Phone (952) 469-0500

2014 Jefferson Rd
Ste Cd
Northfield, MN 55057
Phone (507) 646-6700

2014 Jefferson Rd
Ste C
Northfield, MN 55057
Phone (507) 646-6700

2000 North Ave
Northfield, MN 55057
Phone (507) 646-1000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1881373041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 NORTH AVE",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550571697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 JEFFERSON RD STE C",
            "city": "NORTHFIELD",
            "state": "MN",
            "postal_code": "550573251",
            "telephone_number": "507-646-6700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9974 214th St W",
            "address_purpose": "LOCATION",
            "city": "Lakeville",
            "state": "MN",
            "postal_code": "550441913",
            "country_code": "US",
            "telephone_number": "952-469-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "10454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALICIA",
            "last_name": "MICKELSON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Northfield, MN

Sources for this page

Verify at the official NPI Registry.