NINA KRISTINE APPLEBY D.O.
NPI 1538548003
Family Medicine in Glencoe, MN

Active since May 29, 2015PECOS EnrolledAccepts Medicare Assignment
1805 HENNEPIN AVE N, GLENCOE, MN 55336(320) 864-3121 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 24, 2020, Mar 13, 2017 (2 updates tracked since 2017).

About Nina Kristine Appleby D.o. NPPES

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

NINA KRISTINE APPLEBY D.O. (NPI 1538548003) is an individual family medicine provider in Glencoe, Minnesota, licensed in Minnesota (60654) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Hutchinson Health, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1538548003
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNINA KRISTINE APPLEBYCredential: D.O.
Location Address1805 HENNEPIN AVE NGlencoe, MN 55336-1416
Mailing Address1805 Hennepin Ave NGlencoe, MN 55336-1416
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 29, 2015
Last NPPES UpdateNovember 24, 20202 updates tracked since enumeration
NPPES CertifiedNovember 24, 2020
✔ NPI 1538548003 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 · 60654
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.
1805 HENNEPIN AVE N, Glencoe, MN 55336

Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

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

Nina Kristine Appleby D.o. 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 ID5597076737
PECOS Enrollment IDI20160725001789
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.

Medicare Billing Reassignment

Medicare enrollment records show Nina Appleby reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Critical Access
1805 HENNEPIN AVE N
Glencoe, MN 55336
  • Reassigned Medicare billing, Minnesota enrollment
  • 95 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

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 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

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

Glencoe Regional Health

Critical Access Hospitals · Glencoe, MN
OwnershipVoluntary non-profit - Other
CMS Certification Number241355
Location1805 Hennepin Avenue NorthGlencoe, MN 55336 · Mc Leod County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55336 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

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers28 claims28 services$198.53 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.

Podiatrist (Foot & Ankle Surgery)
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Nurse Practitioner (Family)
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Family Medicine
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Family Medicine
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Physical Therapist
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Physician Assistant
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Pediatrics
1805 HENNEPIN AVE N
GLENCOE, MN 55336
Physician Assistant
1805 HENNEPIN AVE N
GLENCOE, MN 55336

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 Nina Appleby's NPI number?

The NPI number for Nina Appleby is 1538548003. It was assigned to this individual provider in the NPPES registry on May 29, 2015.

Where is Nina Appleby located?

Nina Appleby practices at 1805 Hennepin Ave N, Glencoe, MN 55336. The listed phone number is (320) 864-3121.

What is Nina Appleby's specialty?

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

Is Nina Appleby enrolled in Medicare?

Yes. Nina Appleby 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 Nina Appleby's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nina Appleby reassigns Medicare benefits to Glencoe Regional Health Services (Glencoe, 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 Nina Appleby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nina Appleby accept?

Health plans from Sanford Health Plan list Nina Appleby 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 Nina Appleby affiliated with any hospitals?

According to CMS data, Nina Appleby is affiliated with Hutchinson Health and Glencoe Regional Health.

When was this NPI record last updated?

The NPPES record for Nina Appleby was last updated on November 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.