MARTHA H NICOLOFF GNP
NPI 1629044599
Nurse Practitioner in Bloomington, MN

Active since February 28, 2006
8100 34TH AVE S, MC21110Q, BLOOMINGTON, MN 55425(952) 883-6805(952) 883-6117 Get Directions Write a Review

NPPES record last updated: November 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Martha H Nicoloff Gnp NPPES

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

MARTHA H NICOLOFF GNP (NPI 1629044599) is an individual nurse practitioner in Bloomington, Minnesota, licensed in Minnesota (1274796) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1629044599
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARTHA H NICOLOFFCredential: GNP
Location Address8100 34TH AVE S, MC21110QBloomington, MN 55425-1672
Mailing Address8100 34th Ave S, Mc21110qBloomington, MN 55425-1672 · (952) 883-6805 · Fax (952) 883-6117
Fax(952) 883-6117
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateNovember 17, 2008
NPI 1629044599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MN · 1274796
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8100 34TH AVE S, Bloomington, MN 55425

Other Identifiers 3

Medicare ID-Type Unspecified500001282
Medicare UPINP10510
Medicaid670097700MN

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
8100 34TH AVE S, MC21110Q
BLOOMINGTON, MN 55425
Dentist (Oral and Maxillofacial Surgery)
8100 34TH AVE S
MINNEAPOLIS, MN 55425
Pharmacist (Pharmacotherapy)
8100 34TH AVE S
BLOOMINGTON, MN 55425
Durable Medical Equipment & Medical Supplies
8100 34TH AVE S
BLOOMINGTON, MN 55425

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 Martha Nicoloff's NPI number?

The NPI number for Martha Nicoloff is 1629044599. It was assigned to this individual provider in the NPPES registry on February 28, 2006.

Where is Martha Nicoloff located?

Martha Nicoloff practices at 8100 34th Ave S Mc21110q, Bloomington, MN 55425. The listed phone number is (952) 883-6805.

What is Martha Nicoloff's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Martha Nicoloff was last updated on November 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.