Nicole Radi, - Medicare Nurse Practitioner in Minnetonka, MN

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Nicole Radi, is a medicare enrolled "Nurse Practitioner - Family" in Minnetonka, Minnesota. She graduated from nursing school in 2015 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Impact Health Pc, Step Up Care Pc Llc and her current practice location is 9900 Bren Rd E, Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (203) 393-6993.

Nicole Radi is licensed to practice in Connecticut (license number 006208) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023480829.

Contact Information

Nicole Radi,
9900 Bren Rd E,
Minnetonka, MN 55343-9664
(203) 393-6993
Not Available

Map and Direction




Provider's Profile

Full NameNicole Radi
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location9900 Bren Rd E, Minnetonka, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Radi graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1023480829
  • Provider Enumeration Date: 10/20/2015
  • Last Update Date: 02/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6204139827
  • Enrollment ID: I20181126000132

Medical Identifiers

Medical identifiers for Nicole Radi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023480829NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 006208 (Connecticut)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Griffin HospitalDerby, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Impact Health Pc094156266450
Step Up Care Pc Llc5496088346129

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Radi allows following entities to bill medicare on her behalf.
Entity NameImpact Health Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730694316
PECOS PAC ID: 0941562664
Enrollment ID: O20180316001315
Entity NameStep Up Care Pc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154884740
PECOS PAC ID: 5496088346
Enrollment ID: O20190607000156
Entity NameLiberty Integrated Behavioral Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417483165
PECOS PAC ID: 2769714286
Enrollment ID: O20191101000112

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Radi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Radi,
15 Woodbine Rd,
Woodbridge, CT 06525-1619

Ph: (203) 393-6993		Nicole Radi,
9900 Bren Rd E,
Minnetonka, MN 55343-9664

Ph: (203) 393-6993

Reviews and Comments


Nurse Practitioner Nurses in Minnetonka, MN

Mavis Osei Yeboah, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343
Phone: 336-549-6221    
Alane Renee Hartlage, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343
Phone: 608-286-0556    
Dawn M Schaefer, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343
Phone: 414-477-9978    
Rose M Paz, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343
Phone: 855-247-8847    
Raul Rodriguez, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343
Phone: 915-218-8568    
Ms. Susanna Monroe, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343
Phone: 941-875-5890    
Karry Ermita Audain, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9900 Bren Rd E, Minnetonka, MN 55343
Phone: 305-432-1249    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.