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MIKAELA B. HERBERG MD
NPI 1629765136
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 24, 2023PECOS Enrolled
420 DELEWARE ST. SE, MMC 395, MINNEAPOLIS, MN 55455(612) 626-4939 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mikaela B. Herberg Md NPPES

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

MIKAELA B. HERBERG MD (NPI 1629765136) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629765136
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMIKAELA B. HERBERGCredential: MD
Location Address420 DELEWARE ST. SE, MMC 395Minneapolis, MN 55455
Mailing Address420 Deleware St. Se, Mmc 395Minneapolis, MN 55455 · (612) 626-4939
Phone(612) 626-4939
Sole ProprietorYes
Enumeration DateApril 24, 2023
NPPES CertifiedApril 17, 2023
✔ NPI 1629765136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 DELEWARE ST. SE, Minneapolis, MN 55455
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mikaela B. Herberg Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

DR. MICHAEL ANDREW LINDEN MD, PHD
Pathology (Hematology)
420 DELEWARE ST. SE, MMC 609
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-8446
MOLLY BUTLER MD
Student in an Organized Health Care Education/Training Program
420 DELEWARE ST. SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-6666

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 Mikaela Herberg's NPI number?

The NPI number for Mikaela Herberg is 1629765136. It was assigned to this individual provider in the NPPES registry on April 24, 2023.

Where is Mikaela Herberg located?

Mikaela Herberg practices at 420 Deleware St. SE Mmc 395, Minneapolis, MN 55455. The listed phone number is (612) 626-4939.

What is Mikaela Herberg's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mikaela Herberg enrolled in Medicare?

Yes. Mikaela Herberg is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mikaela Herberg was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.