Individual provider Active NPI

Nicole Renee Raths, FNP

  • Family Nurse Practitioner
  • Morris, MN
National Provider Identifier
1962062489
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6639 Issued in MN
Practice address
400 E 1St St
Morris, MN 56267-1408
Phone
(320) 589-1313
NPI assigned
Jun 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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 6639 MN Primary

Addresses

Primary practice location

400 E 1St St
Morris, MN 56267-1408

Mailing address

20510 470TH Ave
Morris, MN 56267-4515
Phone (218) 270-0468

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
I20190726002898 MN Practitioner - Nurse Practitioner 7315273422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stevens Community Medical Center IncGroup PAC ID 3678475852, shared by 6 NPIs, 72 clinicians

Practice addresses (Care Compare)

400 E 1St St
Morris, MN 56267-1408
Phone (320) 589-1313

Hospital & facility affiliations

  • Stevens Community Medical Center Inc Hospital, Morris, MN, CCN 241363
  • West Wind Village Nursing home, Morris, MN, CCN 245262

Merit-based Incentive Payment System (MIPS)

Final score
85.11 of 100Reported as group
Quality
82.21
Promoting interoperability
83
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6639MNMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Stevens Community Medical Center Inc. Current Accepting new patients
Stevens Community Medical Center Inc CurrentSince Jun 17, 2019 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Dec 29, 2025 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Jun 17, 2019 Accepting new patients

Locations

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

501 Poler St
Starbuck, MN 56381
Phone (320) 239-3939

Interoperability endpoints

  • Direct secure messaging: nraths464096@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.

Hospital & facility affiliations 3

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": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1962062489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20510 470TH AVE",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562674515",
            "telephone_number": "218-270-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E 1ST ST",
            "city": "MORRIS",
            "state": "MN",
            "postal_code": "562671408",
            "telephone_number": "320-589-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHS",
        "first_name": "NICOLE",
        "middle_name": "RENEE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "6639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris, MN

Sources for this page

Verify at the official NPI Registry.