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NICOLE JAMES M.D.
NPI 1356728331
Family Medicine in St Louis Park, MN

Active since April 29, 2015PECOS EnrolledAccepts Medicare Assignment
6600 EXCELSIOR BLVD, SUITE 160, ST LOUIS PARK, MN 55426(952) 993-7711 Get Directions Write a Review

NPPES record last updated: August 28, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole James M.d. NPPES

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

NICOLE JAMES M.D. (NPI 1356728331) is an individual family medicine provider in St Louis Park, Minnesota, licensed in Minnesota (60778) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with North Memorial Health Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1356728331
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE JAMESCredential: M.D.
Location Address6600 EXCELSIOR BLVD, SUITE 160St Louis Park, MN 55426
Mailing Address6500 Excelsior BlvdSt Louis Park, MN 55426-4702 · (952) 993-7711
Phone(952) 993-7711
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 29, 2015
Last NPPES UpdateAugust 28, 2018
✔ NPI 1356728331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 60778
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
6600 EXCELSIOR BLVD, St Louis Park, MN 55426
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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

Nicole James 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 ID4082908777
PECOS Enrollment IDI20160803000622
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 5

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
255 services95 patients
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.
138 services70 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
84 services82 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.
36 services36 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

North Memorial Health Hospital

Acute Care Hospitals · Robbinsdale, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240001
Location3300 Oakdale NorthRobbinsdale, MN 55422 · Hennepin County
Emergency services Birthing friendly

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Hutchinson Health

Acute Care Hospitals · Hutchinson, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number240187
Location1095 Highway 15 SouthHutchinson, MN 55350 · Mc Leod County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55426 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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$68.65 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier17 claims17 services$35.55 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.

LEE H BEECHER MD PA
Psychiatry & Neurology (Psychiatry)
6600 EXCELSIOR BLVD, CREEKSIDE BLDG SUITE 121
ST LOUIS PARK, MN 55426
Hennepin County (952) 935-7116
DR. SARA JOHANNA MITLYNG M.D.
Family Medicine
6600 EXCELSIOR BLVD, SUITE 100
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-7700
MICHAEL DUKINFIELD
Family Medicine
6600 EXCELSIOR BLVD, SUITE 160
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-7700
MR. GEORGE V BABOILA MSW, LICSW
Social Worker (Clinical)
6600 EXCELSIOR BLVD, STE 160
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-7707
MARY D WAGNER
Family Medicine
6600 EXCELSIOR BLVD, STE 160
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-7707
MARK A NAMMACHER MD
Pediatrics
6600 EXCELSIOR BLVD, 131
ST LOUIS PARK, MN 55426
Hennepin County (952) 401-8290
DR. ANTHONY JOHN SKINNER DDS
Dentist (Periodontics)
6600 EXCELSIOR BLVD, 180
ST LOUIS PARK, MN 55426
Hennepin County (952) 935-9009
DR. AMY LAUREN KAUFMAN MD
Internal Medicine
6600 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426
Hennepin County (952) 993-7700

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 James's NPI number?

The NPI number for Nicole James is 1356728331. It was assigned to this individual provider in the NPPES registry on April 29, 2015.

Where is Nicole James located?

Nicole James practices at 6600 Excelsior Blvd Suite 160, St Louis Park, MN 55426. The listed phone number is (952) 993-7711.

What is Nicole James's specialty?

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

Is Nicole James enrolled in Medicare?

Yes. Nicole James 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 Nicole James accept?

Health plans from Medica list Nicole James 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 Nicole James affiliated with any hospitals?

According to CMS data, Nicole James is affiliated with North Memorial Health Hospital, Park Nicollet Methodist Hospital and Hutchinson Health.

When was this NPI record last updated?

The NPPES record for Nicole James was last updated on August 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.