ANNE B NEELEY M.D.
NPI 1104143437
Dermatology in St Louis Park, MN
About Anne B Neeley M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANNE B NEELEY M.D. (NPI 1104143437) is an individual dermatology provider in St Louis Park, Minnesota, licensed in Minnesota (60530) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains a secondary practice location in Saint Peter.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 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 and accepts Medicare assignment
Anne B Neeley 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.
Medicare Billing Reassignment
Medicare enrollment records show Anne Neeley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- 2,527 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 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Park Nicollet Methodist Hospital
Acute Care Hospitals · Saint Louis Park, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55416 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.
MINNEAPOLIS, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
ST LOUIS PARK, MN 55416
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 Anne Neeley's NPI number?
The NPI number for Anne Neeley is 1104143437. It was assigned to this individual provider in the NPPES registry on April 27, 2010. The provider is also known as Anne B Haugen.
Where is Anne Neeley located?
Anne Neeley practices at 3800 Park Nicollet Blvd, St Louis Park, MN 55416. The listed phone number is (952) 993-3123.
What is Anne Neeley's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Anne Neeley enrolled in Medicare?
Yes. Anne Neeley 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.
Which organization bills Medicare for Anne Neeley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anne Neeley reassigns Medicare benefits to Park Nicollet Clinic (St Louis Park, MN). The 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 Anne Neeley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anne Neeley accept?
Health plans from HealthPartners list Anne Neeley 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 Anne Neeley affiliated with any hospitals?
According to CMS data, Anne Neeley is affiliated with Park Nicollet Methodist Hospital.
When was this NPI record last updated?
The NPPES record for Anne Neeley was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Anne B Neeley, M.D. · NPI 1104143437
Dermatology physician in St Louis Park, Minnesota. Individual provider, active in the CMS NPPES registry since April 27, 2010.
## Identity
- **NPI:** 1104143437 (Entity type: Individual)
- **Enumerated:** April 27, 2010
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 60530 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 3800 PARK NICOLLET BLVD, St Louis Park, MN 55416-2527
- **Phone:** (952) 993-3123 · **Fax:** (952) 993-3286
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Park Nicollet Clinic (NPI 1063897593, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Creighton University School Of Medicine, class of 2010
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1104143437) · Data from the CMS NPPES public registry.