Individual provider Active NPI

Diane P Muckenhirn, RN, WHCNP

  • Women's Health Nurse Practitioner
  • Saint Paul, MN
National Provider Identifier
1982784591
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
R0953856 Issued in MN
Practice address
1965 Ford Pkwy
Saint Paul, MN 55116-1923
Phone
(651) 696-5509
Fax
(651) 698-2405
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X R0953856 MN Primary

Addresses

Primary practice location

1965 Ford Pkwy
Saint Paul, MN 55116-1923

Mailing address

19572 Skyview Cir
Hutchinson, MN 55350-4316
Phone (320) 587-4907

Other identifiers 1

IdentifierTypeStateIssuer
HP16814OtherHEALTH PARTNERS PROV. ID

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
I20100913000867 MN Practitioner - Nurse Practitioner 5496870578 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hutchinson HealthGroup PAC ID 0345330072, 145 clinicians

Practice addresses (Care Compare)

1029 Hwy 15 S
Hutchinson, MN 55350-3153
Phone (320) 484-4400

1071 Hwy 15 S
Hutchinson, MN 55350-3153
Phone (320) 484-4610

3 Century Ave SE
Hutchinson, MN 55350-3108
Phone (320) 234-3290

Hospital & facility affiliations

  • Hutchinson Health Hospital, Hutchinson, MN, CCN 240187

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
82.49
Promoting interoperability
100
Improvement activities
40
Cost
69.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0953856MNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hutchinson Health CurrentSince Feb 5, 2013 Accepting new patients

Locations

3 Century Ave SE
Hutchinson, MN 55350
Phone (320) 234-3290

1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358

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.

Hospital & facility affiliations 1

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982784591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19572 SKYVIEW CIR",
            "city": "HUTCHINSON",
            "state": "MN",
            "postal_code": "553504316",
            "telephone_number": "320-587-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 FORD PKWY",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551161923",
            "telephone_number": "651-696-5509",
            "fax_number": "651-698-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCKENHIRN",
        "first_name": "DIANE",
        "middle_name": "P",
        "credential": "RN, WHCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MN",
            "license": "R0953856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS PROV. ID",
            "identifier": "HP16814",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.