NICOLE STALOCH NP
NPI 1134524242
Nurse Practitioner - Psychiatric/Mental Health in Fridley, MN

Active since October 31, 2014PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
520 OSBORNE RD NE STE 120, FRIDLEY, MN 55432(763) 236-4300 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Staloch Np NPPES

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

NICOLE STALOCH NP (NPI 1134524242) is an individual psychiatric/mental health provider in Fridley, Minnesota, licensed in Minnesota (2825) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1134524242
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE STALOCHCredential: NP
Location Address520 OSBORNE RD NE STE 120Fridley, MN 55432-2718
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 31, 2014
Last NPPES UpdateApril 8, 2025
NPPES CertifiedApril 8, 2025
NPI 1134524242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MN · 2825
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License R165333-3 (MN)
520 OSBORNE RD NE STE 120, Fridley, MN 55432

Secondary Practice Location 1

Location 1559 Capitol BlvdSaint Paul, MN 55103-2101 · Phone (651) 500-7737

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

Nicole Staloch Np 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 ID1658694492
PECOS Enrollment IDI20141230002458
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
88 services17 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services17 patients

Hospital Affiliations CMS Care Compare

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

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
520 OSBORNE RD NE STE 120
FRIDLEY, MN 55432
Clinical Neuropsychologist
520 OSBORNE RD NE STE 120
FRIDLEY, MN 55432
Counselor (Professional)
520 OSBORNE RD NE STE 120
FRIDLEY, MN 55432
Counselor (Professional)
520 OSBORNE RD NE STE 120
FRIDLEY, MN 55432
Counselor (Addiction (Substance Use Disorder))
520 OSBORNE RD NE STE 120
FRIDLEY, MN 55432
Counselor (Addiction (Substance Use Disorder))
520 OSBORNE RD NE STE 120
FRIDLEY, MN 55432
Counselor (Addiction (Substance Use Disorder))
520 OSBORNE RD NE STE 120
FRIDLEY, MN 55432
Counselor (Mental Health)
520 OSBORNE RD NE STE 120
FRIDLEY, MN 55432

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 Staloch's NPI number?

The NPI number for Nicole Staloch is 1134524242. It was assigned to this individual provider in the NPPES registry on October 31, 2014.

Where is Nicole Staloch located?

Nicole Staloch practices at 520 Osborne Rd NE Ste 120, Fridley, MN 55432. The listed phone number is (763) 236-4300.

What is Nicole Staloch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Staloch enrolled in Medicare?

Yes. Nicole Staloch 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.

Is Nicole Staloch affiliated with any hospitals?

According to CMS data, Nicole Staloch is affiliated with Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Staloch was last updated on April 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.