NICHOLAS AUSTIN M.D.
NPI 1831455211
Psychiatry & Neurology - Psychiatry in Saint Paul, MN

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment
90.33/100
CMS Quality Rating
640 JACKSON ST, DEPARTMENT OF PSYCHIATRY, MAIL STOP 11302C, SAINT PAUL, MN 55101(952) 883-5202 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2024, Aug 18, 2023, Jul 27, 2023 and 5 more (8 updates tracked since 2017).

About Nicholas Austin M.d. NPPES

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

NICHOLAS AUSTIN M.D. (NPI 1831455211) is an individual psychiatry provider in Saint Paul, Minnesota, licensed in Minnesota (58517) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Spectrum Health United Hospital, and is a graduate of University Of Minnesota Medical School (2012).

NPPES Registry Identity

NPI1831455211
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameNICHOLAS AUSTINCredential: M.D.
Location Address640 JACKSON ST, DEPARTMENT OF PSYCHIATRY, MAIL STOP 11302CSaint Paul, MN 55101
Mailing Address640 Jackson St., Department Of Psychiatry, Mail Stop 11302cSt. Paul, MN 55101-3011 · (952) 883-5202
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2012
Enumeration DateApril 10, 2012
Last NPPES UpdateFebruary 7, 20248 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
✔ NPI 1831455211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in MN · 58517
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 036138207 (IL)
640 JACKSON ST, Saint Paul, MN 55101

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 Austin M.d. 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 ID6800199183
PECOS Enrollment IDI20230925000953, I20240105002957
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Nicholas Austin reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Dentistry
205 WABASHA ST S
Saint Paul, MN 55107
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
Psychiatry
7616 CURRELL BLVD, SUITE 100
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 127 clinicians in this Medicare group
Community/Behavioral Health
515 QUARTZ ST
Ontonagon, MI 49953
  • Reassigned Medicare billing, Michigan enrollment
  • 20 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
222 E WILLOW AVE
Wheaton, IL 60187
  • Reassigned Medicare billing, Illinois enrollment
  • 23 clinicians in this Medicare group
Community/Behavioral Health
611 N STATE STREET
Stanton, MI 48888
  • Reassigned Medicare billing, Michigan enrollment
  • 29 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.

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.
109 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Spectrum Health United Hospital

Acute Care Hospitals · Greenville, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230035
Location615 S Bower StreetGreenville, MI 48838 · Montcalm County
Birthing friendly

Up Health System Portage

Acute Care Hospitals · Hancock, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number230108
Location500 Campus DriveHancock, MI 49930 · Houghton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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.

90.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.66
Improvement Activities40

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.

Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101

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 Austin's NPI number?

The NPI number for Nicholas Austin is 1831455211. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Nicholas Austin located?

Nicholas Austin practices at 640 Jackson St Department Of Psychiatry, Mail Stop 11302C, Saint Paul, MN 55101. The listed phone number is (952) 883-5202.

What is Nicholas Austin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Nicholas Austin enrolled in Medicare?

Yes. Nicholas Austin 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 Austin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Austin reassigns Medicare benefits to 5 organizations: Group Health, Inc. (Saint Paul, MN), St. Croix Psychiatric, LLC (Woodbury, MN), Copper Country Community Mental Health Services (Ontonagon, MI), Metropolitan Family Services (Wheaton, IL) and Montcalm Care Network (Stanton, MI). 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 Austin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Austin accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Kaiser Permanente, Moda Health Plan, Inc. and Oscar Insurance Company and 2 other insurers list Nicholas Austin 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 Austin affiliated with any hospitals?

According to CMS data, Nicholas Austin is affiliated with Spectrum Health United Hospital and Up Health System Portage.

When was this NPI record last updated?

The NPPES record for Nicholas Austin was last updated on February 7, 2024. 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.