MISS NICOLE ANN SCANLON NP
NPI 1598401473
Nurse Practitioner - Psychiatric/Mental Health in Fridley, MN

Q: What is Nicole Scanlon's NPI number?

The NPI number for Nicole Scanlon is 1598401473. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Q: What is Nicole Scanlon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Scanlon was last updated on December 20, 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.

Active since May 12, 2022PECOS EnrolledAccepts Medicare Assignment

83.53/100

CMS Quality Rating

480 OSBORNE RD NE STE 260, FRIDLEY, MN 55432(763) 236-5000 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 6, 2023, Aug 9, 2022, May 12, 2022 (3 updates tracked since 2022).

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About Miss Nicole Ann Scanlon Np NPPES

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

MISS NICOLE ANN SCANLON NP (NPI 1598401473) is an individual psychiatric/mental health provider in Fridley, Minnesota, licensed in Minnesota (9390) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1598401473

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMISS NICOLE ANN SCANLONCredential: NP

Location Address480 OSBORNE RD NE STE 260Fridley, MN 55432-2866

Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000

Phone(763) 236-5000

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 12, 2022

Last NPPES UpdateDecember 20, 20233 updates tracked since enumeration

NPPES CertifiedDecember 20, 2023

✔ NPI 1598401473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in MN · 9390

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

480 OSBORNE RD NE STE 260, Fridley, MN 55432

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Accepted Insurance

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

Miss Nicole Ann Scanlon Np 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 ID9436532470

PECOS Enrollment IDI20220824000291

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

81 services25 patients

Hospital Affiliations CMS Care Compare

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

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240057

Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55432 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.

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.

83.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

81.79

Promoting Interoperability

100

Improvement Activities

Cost

63.31

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.

DR. GLORIA J. TONG MD

Psychiatry & Neurology (Psychiatry)