NICHOLAS LEE VILLARREAL
NPI 1609392695
Nurse Practitioner - Acute Care in Edina, MN
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 maintains a secondary practice location in Havelock.
NPPES Registry Identity
Specialties & Licenses
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
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.
Medicare Billing Reassignments
8Medicare enrollment records show Nicholas Villarreal reassigns Medicare billing to 8 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
- 3,633 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 2,302 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 671 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 1,178 clinicians in this Medicare group
Woodbury, MN 55125
- Reassigned Medicare billing, Minnesota enrollment
- 955 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.
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, 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.
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 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.
Which organizations bill Medicare for Nicholas Villarreal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Villarreal reassigns Medicare benefits to 8 organizations: Fairview Express Care (Edina, MN), Fairview Health Services (Edina, MN), Fairview Clinics (Edina, MN), Fairview Bethesda Hospital (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN) and 3 more organizations, listed in the Medicare section above. 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 Nicholas Villarreal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Nicholas Lee Villarreal · NPI 1609392695
Acute Care physician in Edina, Minnesota. Individual provider, active in the CMS NPPES registry since August 21, 2017.
## Identity
- **NPI:** 1609392695 (Entity type: Individual)
- **Enumerated:** August 21, 2017
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 5385 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6401 FRANCE AVE S, Edina, MN 55435-2104
- **Phone:** (952) 924-5000
## 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:** 8 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1831707207, Edina, MN); Fairview Health Services (NPI 1770663031, Edina, MN); Fairview Clinics (NPI 1013383355, Edina, MN); Fairview Bethesda Hospital (NPI 1275412561, Minneapolis, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** March 17, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1609392695) · Data from the CMS NPPES public registry.