1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Nurse Practitioner
  6. NPI Profile

MICHELLE RENE BECKMAN FNP
NPI 1508306937
Nurse Practitioner - Family in Minneapolis, MN

Active since March 04, 2017Opted out of Medicare · through May 31, 2027
3904 21ST AVE S, MINNEAPOLIS, MN 55407(507) 340-6805 Get Directions Write a Review

NPPES record last updated: September 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2020, Mar 4, 2017 (2 updates tracked since 2017).

About Michelle Rene Beckman Fnp NPPES

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

MICHELLE RENE BECKMAN FNP (NPI 1508306937) is an individual family provider in Minneapolis, Minnesota, licensed in Minnesota (R211615-4) and active in the NPI registry since March 2017. She has opted out of Medicare through May 31, 2027.

NPPES Registry Identity

NPI1508306937
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMICHELLE RENE BECKMANCredential: FNP
Location Address3904 21ST AVE SMinneapolis, MN 55407-3070
Mailing Address3904 21st Ave SMinneapolis, MN 55407-3070 · (507) 340-6805
Phone(507) 340-6805
Sole ProprietorNo
Enumeration DateMarch 4, 2017
Last NPPES UpdateSeptember 15, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2023
✔ NPI 1508306937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MN · R211615-4
3904 21ST AVE S, Minneapolis, MN 55407
Open in Google Maps ↗

Other Identifiers 1

Other1508306937MN · Npi

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michelle Rene Beckman Fnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 31, 2023 through May 31, 2027.

Opt-Out Effective DateMay 31, 2023
Opt-Out In Effect ThroughMay 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Michelle Beckman's NPI number?

The NPI number for Michelle Beckman is 1508306937. It was assigned to this individual provider in the NPPES registry on March 4, 2017.

Where is Michelle Beckman located?

Michelle Beckman practices at 3904 21st Ave S, Minneapolis, MN 55407. The listed phone number is (507) 340-6805.

What is Michelle Beckman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michelle Beckman enrolled in Medicare?

No. Michelle Beckman has opted out of Medicare through May 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michelle Beckman was last updated on September 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.