MS. DOINA SIMONA NISTOR MD
NPI 1568795243
Internal Medicine in Edina, MN
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
Specialties & Licenses 3
Secondary Practice Location 1
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Doina Nistor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 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 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.
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, MNPhysician 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.
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.
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.
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.
EDINA, MN 55435
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.
Which organizations bill Medicare for Doina Nistor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Doina Nistor reassigns Medicare benefits to 2 organizations: Fairview Health Services (Edina, MN) and Healtheast Medical Research Institute (Saint Paul, MN). Each 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 Doina Nistor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Ms. Doina Simona Nistor, MD · NPI 1568795243
Internal Medicine physician in Edina, Minnesota. Individual provider, active in the CMS NPPES registry since September 11, 2009.
## Identity
- **NPI:** 1568795243 (Entity type: Individual)
- **Enumerated:** September 11, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 55403 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6401 FRANCE AVE S, Edina, MN 55435-2104
- **Phone:** (952) 924-8463 · **Fax:** (952) 924-8358
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fairview Health Services (NPI 1770663031, Edina, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1997
## Record status
- **NPPES last updated:** April 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1568795243) · Data from the CMS NPPES public registry.