NICOLE RADI
NPI 1023480829
Nurse Practitioner - Family in Minnetonka, MN
About Nicole Radi NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE RADI (NPI 1023480829) is an individual family provider in Minnetonka, Minnesota, licensed in Connecticut (006208) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Radi is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Nicole Radi reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Orange, CT 06477
- Reassigned Medicare billing, Connecticut enrollment
- 41 clinicians in this Medicare group
Orange, CT 06477
- Reassigned Medicare billing, Connecticut enrollment
- Medicare enrollment name: Impact Health PC
- 129 clinicians in this Medicare group
New Britain, CT 06052
- Reassigned Medicare billing, Connecticut enrollment
- 20 clinicians in this Medicare group
Danielson, CT 06239
- Reassigned Medicare billing, Connecticut enrollment
- 390 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 11
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55343 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole Radi's NPI number?
The NPI number for Nicole Radi is 1023480829. It was assigned to this individual provider in the NPPES registry on October 20, 2015. The provider is also known as Nicole Morehouse Aprn.
Where is Nicole Radi located?
Nicole Radi practices at 9900 Bren Rd E, Minnetonka, MN 55343. The listed phone number is (203) 393-6993.
What is Nicole Radi's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Radi enrolled in Medicare?
Yes. Nicole Radi is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Nicole Radi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Radi reassigns Medicare benefits to 4 organizations: Impact Health Aco PC (Orange, CT), Impact Health P.C. (Orange, CT), Liberty Integrated Behavioral Health, LLC (New Britain, CT) and Step Up Care PC LLC (Danielson, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Radi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicole Radi accept?
Health plans from Anthem Blue Cross and Blue Shield list Nicole Radi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Nicole Radi was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nicole Radi · NPI 1023480829
Family physician in Minnetonka, Minnesota. Individual provider, active in the CMS NPPES registry since October 20, 2015.
## Identity
- **NPI:** 1023480829 (Entity type: Individual)
- **Enumerated:** October 20, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 006208 (Connecticut)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9900 BREN RD E, Minnetonka, MN 55343-9664
- **Phone:** (203) 393-6993
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Impact Health Aco PC (NPI 1447177068, Orange, CT); Impact Health P.C. (NPI 1730694316, Orange, CT); Liberty Integrated Behavioral Health, LLC (NPI 1417483165, New Britain, CT); Step Up Care PC LLC (NPI 1154884740, Danielson, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 9, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1023480829) · Data from the CMS NPPES public registry.