NICOLE TERESE RADKE CNP
NPI 1942776885
Nurse Practitioner in Coon Rapids, MN
About Nicole Terese Radke Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE TERESE RADKE CNP (NPI 1942776885) is an individual nurse practitioner in Coon Rapids, Minnesota, licensed in Minnesota (6252) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital, and maintains a secondary practice location in Fridley.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Nicole Terese Radke Cnp 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 Reassignment
Medicare enrollment records show Nicole Radke reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coon Rapids, MN 55433
- Reassigned Medicare billing, Minnesota enrollment
- 3,733 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 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Hospital
Acute Care Hospitals · Coon Rapids, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55433 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.
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 Nicole Radke's NPI number?
The NPI number for Nicole Radke is 1942776885. It was assigned to this individual provider in the NPPES registry on October 18, 2018.
Where is Nicole Radke located?
Nicole Radke practices at 4050 Coon Rapids Blvd NW, Coon Rapids, MN 55433. The listed phone number is (651) 635-9173.
What is Nicole Radke's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Nicole Radke enrolled in Medicare?
Yes. Nicole Radke 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 organization bills Medicare for Nicole Radke's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Radke reassigns Medicare benefits to Allina Health System (Coon Rapids, MN). The 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 Nicole Radke's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nicole Radke affiliated with any hospitals?
According to CMS data, Nicole Radke is affiliated with Mercy Hospital.
When was this NPI record last updated?
The NPPES record for Nicole Radke was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Nicole Terese Radke, CNP · NPI 1942776885
Nurse Practitioner physician in Coon Rapids, Minnesota. Individual provider, active in the CMS NPPES registry since October 18, 2018.
## Identity
- **NPI:** 1942776885 (Entity type: Individual)
- **Enumerated:** October 18, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 6252 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 4050 COON RAPIDS BLVD NW, Coon Rapids, MN 55433-2522
- **Phone:** (651) 635-9173 · **Fax:** (651) 628-2999
## 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:** Allina Health System (NPI 1649576091, Coon Rapids, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** March 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1942776885) · Data from the CMS NPPES public registry.