MIRTHA NESHEIM M.D.
NPI 1093780934
Family Medicine in Maple Grove, MN

Active since February 22, 2006PECOS EnrolledAccepts Medicare Assignment
12000 ELM CREEK BLVD N, MAPLE GROVE, MN 55369(763) 420-5822(763) 420-6387 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mirtha Nesheim M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRTHA NESHEIM M.D. (NPI 1093780934) is an individual family medicine provider in Maple Grove, Minnesota, licensed in Minnesota (46595) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1093780934
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMIRTHA NESHEIMCredential: M.D.
Location Address12000 ELM CREEK BLVD NMaple Grove, MN 55369-7073
Mailing Address9800 Rockford RdPlymouth, MN 55442-2811 · (763) 559-0092 · Fax (763) 559-9404
Fax(763) 420-6387
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateFebruary 22, 2006
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
NPI 1093780934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 46595
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12000 ELM CREEK BLVD N, Maple Grove, MN 55369

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mirtha Nesheim M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557343548
PECOS Enrollment IDI20040603000554
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 17

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
107 services67 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
104 services81 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
55 services50 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
42 services39 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
35 services31 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
30 services30 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims28 services$5.65 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims15 services$215.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Contractor
12000 ELM CREEK BLVD N, SUITE L70
MAPLE GROVE, MN 55369
Chiropractor
12000 ELM CREEK BLVD N
MAPLE GROVE, MN 55369
Physician Assistant
12000 ELM CREEK BLVD N
MAPLE GROVE, MN 55369
Nurse Practitioner (Occupational Health)
12000 ELM CREEK BLVD N, #140
MAPLE GROVE, MN 55369
Clinic/Center (Dental)
12000 ELM CREEK BLVD N, SUITE 230
MAPLE GROVE, MN 55369
Dentist (General Practice)
12000 ELM CREEK BLVD N, SUITE 230
MAPLE GROVE, MN 55369
Specialist/Technologist (Athletic Trainer)
12000 ELM CREEK BLVD N, #120
MAPLE GROVE, MN 55369
Obstetrics & Gynecology (Reproductive Endocrinology)
12000 ELM CREEK BLVD N, SUITE 350
MAPLE GROVE, MN 55369

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 Mirtha Nesheim's NPI number?

The NPI number for Mirtha Nesheim is 1093780934. It was assigned to this individual provider in the NPPES registry on February 22, 2006.

Where is Mirtha Nesheim located?

Mirtha Nesheim practices at 12000 Elm Creek Blvd N, Maple Grove, MN 55369. The listed phone number is (763) 420-5822.

What is Mirtha Nesheim's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mirtha Nesheim enrolled in Medicare?

Yes. Mirtha Nesheim is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mirtha Nesheim accept?

Health plans from HealthPartners and Medica list Mirtha Nesheim 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.

Is Mirtha Nesheim affiliated with any hospitals?

According to CMS data, Mirtha Nesheim is affiliated with Allina United Hospital and Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Mirtha Nesheim was last updated on March 11, 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.