MS. DOINA SIMONA NISTOR MD
NPI 1568795243
Internal Medicine in Edina, MN

Active since September 11, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6401 FRANCE AVE S, EDINA, MN 55435(952) 924-8463(952) 924-8358 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 12, 2024, Feb 15, 2018 (2 updates tracked since 2018).

About Ms. Doina Simona Nistor Md NPPES

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

MS. DOINA SIMONA NISTOR MD (NPI 1568795243) is an individual internal medicine provider in Edina, Minnesota, licensed in Minnesota (55403) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and maintains a secondary practice location in Edina.

NPPES Registry Identity

NPI1568795243
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMS. DOINA SIMONA NISTORCredential: MD
Location Address6401 FRANCE AVE SEdina, MN 55435-2104
Mailing Address6401 France Ave SEdina, MN 55435-2104 · (952) 924-8463 · Fax (952) 924-8358
Fax(952) 924-8358
Sole ProprietorYes
Medical School CMSOtherGraduated 1997
Enumeration DateSeptember 11, 2009
Last NPPES UpdateApril 12, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
NPI 1568795243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MN · 55403
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedHospitalistTaxonomy 208M00000X · License 55403 (MN)
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 55403 (MN)
6401 FRANCE AVE S, Edina, MN 55435

Secondary Practice Location 1

Location 16401 France Ave SEdina, MN 55435-2104 · Phone (952) 924-5000

Accepted 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

Ms. Doina Simona Nistor Md 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 ID8022261510
PECOS Enrollment IDI20130111000397
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 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.
112 services61 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.
73 services73 patients
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.
70 services37 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.
25 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

M Health Fairview Southdale Hospital

Acute Care Hospitals · Edina, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55435 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.09
Promoting Interoperability100
Improvement Activities40
Cost84.72

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 supplier13 claims13 services$68.71 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier13 claims13 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.

Emergency Medicine
6401 FRANCE AVE S
EDINA, MN 55435
Physical Therapist
6401 FRANCE AVE S, REHAB SERVICES LL3G, FAIRVIEW SOUTHDALE HOSPITAL
EDINA, MN 55435
Nurse Practitioner (Acute Care)
6401 FRANCE AVE S
EDINA, MN 55435
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Hospitalist
6401 FRANCE AVE S
EDINA, MN 55435
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435
Nurse Anesthetist, Certified Registered
6401 FRANCE AVE S
EDINA, MN 55435

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 Doina Nistor's NPI number?

The NPI number for Doina Nistor is 1568795243. It was assigned to this individual provider in the NPPES registry on September 11, 2009.

Where is Doina Nistor located?

Doina Nistor practices at 6401 France Ave S, Edina, MN 55435. The listed phone number is (952) 924-8463.

What is Doina Nistor's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Doina Nistor enrolled in Medicare?

Yes. Doina Nistor 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 Doina Nistor accept?

Health plans from Medica and Sanford Health Plan list Doina Nistor 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 Doina Nistor affiliated with any hospitals?

According to CMS data, Doina Nistor is affiliated with M Health Fairview Southdale Hospital.

When was this NPI record last updated?

The NPPES record for Doina Nistor was last updated on April 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.