MRS. ADRIANA ADDISON FNP-BC - NPI 1902053952 - Nurse Practitioner in Pine City, MN

Q: What is Adriana Addison's NPI number?

The NPI number for Adriana Addison is 1902053952. It was assigned to this individual provider in the NPPES registry on August 21, 2008.

Q: What is Adriana Addison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Adriana Addison was last updated on January 22, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Adriana Addison Fnp-bc NPPES

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

MRS. ADRIANA ADDISON FNP-BC (NPI 1902053952) is an individual family provider in Pine City, Minnesota, licensed in Minnesota (3164) and active in the NPI registry since August 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902053952

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. ADRIANA ADDISONCredential: FNP-BC

Location Address100 EVERGREEN SQ SWPine City, MN 55063-2000

Mailing Address257 W Saint George AveGrantsburg, WI 54840-7827 · (715) 463-5317

Phone(320) 629-6721

Sole ProprietorNo

Enumeration DateAugust 21, 2008

Last NPPES UpdateJanuary 22, 20192 updates tracked since enumeration

✔ NPI 1902053952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MN · 3164✔ Licensed in WI · 3647

Also ListedRegistered NurseTaxonomy 163W00000X · License 160486-30 (WI)

100 EVERGREEN SQ SW, Pine City, MN 55063

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Other Identifiers 2

Medicaid190205392WI

Medicaid190205392MN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Adriana Addison Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55063 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.

Other Providers at the Same Location NPPES 6

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

SHOPKO STORES OPERATING CO LLC

Pharmacy (Community/Retail Pharmacy)