NICHOLAS LEE VILLARREAL
NPI 1609392695
Nurse Practitioner - Acute Care in Edina, MN

Active since August 21, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
6401 FRANCE AVE S, EDINA, MN 55435(952) 924-5000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Aug 21, 2017 (2 updates tracked since 2017).

About Nicholas Lee Villarreal NPPES

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

NICHOLAS LEE VILLARREAL (NPI 1609392695) is an individual acute care provider in Edina, Minnesota, licensed in Minnesota (5385) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview University Of Mn, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1609392695
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameNICHOLAS LEE VILLARREAL
Location Address6401 FRANCE AVE SEdina, MN 55435-2104
Mailing Address203 Little John LnHavelock, NC 28532-9554
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 21, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1609392695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MN · 5385
6401 FRANCE AVE S, Edina, MN 55435

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

Nicholas Lee Villarreal 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 ID7618243460
PECOS Enrollment IDI20171023000252
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.

Hospital Affiliations CMS Care Compare

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

M Health Fairview University Of Mn

Acute Care Hospitals · Minneapolis, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240080
Location2450 Riverside AvenueMinneapolis, MN 55454 · 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
$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.

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

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 Nicholas Villarreal's NPI number?

The NPI number for Nicholas Villarreal is 1609392695. It was assigned to this individual provider in the NPPES registry on August 21, 2017.

Where is Nicholas Villarreal located?

Nicholas Villarreal practices at 6401 France Ave S, Edina, MN 55435. The listed phone number is (952) 924-5000.

What is Nicholas Villarreal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Nicholas Villarreal enrolled in Medicare?

Yes. Nicholas Villarreal 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 Nicholas Villarreal accept?

Health plans from Medica and Sanford Health Plan list Nicholas Villarreal 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 Nicholas Villarreal affiliated with any hospitals?

According to CMS data, Nicholas Villarreal is affiliated with M Health Fairview University Of Mn.

When was this NPI record last updated?

The NPPES record for Nicholas Villarreal was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.