NICHOLAS JOHN MIELKE MD
NPI 1164108643
Student in an Organized Health Care Education/Training Program in Minneapolis, MN
About Nicholas John Mielke Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLAS JOHN MIELKE MD (NPI 1164108643) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicholas John Mielke Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 Nicholas Mielke's NPI number?
The NPI number for Nicholas Mielke is 1164108643. It was assigned to this individual provider in the NPPES registry on June 27, 2023.
Where is Nicholas Mielke located?
Nicholas Mielke practices at 420 Delaware St SE, Minneapolis, MN 55455. The listed phone number is (612) 625-5454.
What is Nicholas Mielke's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Nicholas Mielke enrolled in Medicare?
Yes. Nicholas Mielke is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Nicholas Mielke was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.
# Nicholas John Mielke, MD · NPI 1164108643
Student in an Organized Health Care Education/Training Program provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since June 27, 2023.
## Identity
- **NPI:** 1164108643 (Entity type: Individual)
- **Enumerated:** June 27, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 420 DELAWARE ST SE, Minneapolis, MN 55455-0341
- **Phone:** (612) 625-5454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164108643) · Data from the CMS NPPES public registry.