Victoria Sergeyevna Mirkovic, GNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

0740 Issued in MN

Practice address

1700 University Ave W
Saint Paul, MN 55104-3727

Phone

(612) 469-1820

Fax

(888) 972-1770

NPI assigned

Jul 5, 2006

Last updated

Jul 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Victoria Sergeyevna Noble Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: vnoble10473@fairview.direct-ci.com

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.

• Fairview Clinics

  dba Fairview Clinics-Hiawatha

  • Primary Care Clinic/Center
  • Minneapolis, MN
  • NPI 1346432218
  Medicare reassignment NPD
• Healtheast Medical Research Institute

  dba HealthEast Vadnais Heights Clinic

  • Clinic/Center
  • Vadnais Heights, MN
  • NPI 1639125503
  Medicare reassignment NPD
• Fairview Health Services

  • Emergency Medicine Physician
  • Minneapolis, MN
  • NPI 1811077175
  Medicare reassignment
• Fairview Clinics

  • Primary Care Clinic/Center
  • Saint Paul, MN
  • NPI 1396552147
  NPD
• Fairview Clinics

  dba Fairview Clinics - Riverside

  • Primary Care Clinic/Center
  • Minneapolis, MN
  • NPI 1598072183
  NPD
• Fairview Express Care

  dba University of Minnesota Physicians Heart at Fairview

  • Cardiovascular Disease Physician
  • Edina, MN
  • NPI 1710133343
  NPD
• Fairview Health Services

  dba Fairview Hospital University

  • General Acute Care Hospital
  • Minneapolis, MN
  • NPI 1013994359
  NPD
• Fairview Health Services

  dba Fairview Emergency Medical Services

  • Land Ambulance
  • Saint Paul, MN
  • NPI 1710212485
  NPD
• Healtheast Medical Research Institute

  dba HealthEast Professional Services

  • Internal Medicine Physician
  • Saint Paul, MN
  • NPI 1508191552
  NPD
• Healtheast Medical Research Institute

  dba HealthEast Medical Care for Seniors

  • Clinic/Center
  • Saint Paul, MN
  • NPI 1801836812
  NPD
• Edina Senior Living, LLC

  dba Aurora on France

  • Skilled Nursing Facility
  • Edina, MN
  • NPI 1669921912
  NPD (past)
• Martin LM LLC

  dba Martin Luther Care Center

  • Skilled Nursing Facility
  • Bloomington, MN
  • NPI 1629148929
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1942230628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 HOLLYBROOK RD",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911341",
            "telephone_number": "612-469-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 UNIVERSITY AVE W",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551043727",
            "telephone_number": "612-469-1820",
            "fax_number": "888-972-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRKOVIC",
        "first_name": "VICTORIA",
        "middle_name": "SERGEYEVNA",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MN",
            "license": "0740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "NOBLE",
            "middle_name": "SERGEYEVNA",
            "credential": "GNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ladan Bashir Mire
• Muhammad Mire
• Clarissa L Mireau, MA, OTR/L, TPS
• Mirga Housing Stabilization Services Limited Liability Company (Mirga Partners)
• Miriam Gerber, PSYD, LP PLLC
• John Misa
• John Bernard Mischke, MA LP
• Natascha Lynn Mishacoff, M.S. LPCC
• Charles Joseph Mishek, M.A., L.P., L.A.D.C.
• Vanita Mishra, MD

• Gerontology Nurse Practitioner in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Gerontology Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.