ANDRE NELSON MD
NPI 1124073093
Specialist in Minneapolis, MN
NPI Status: Active since May 22, 2006
Contact Information
2545 CHICAGO AVE
SUITE 512
MINNEAPOLIS, MN
ZIP 55404
Phone: (612) 813-6475
- Individual
- Male
- Specialist
About ANDRE NELSON
This page provides the complete NPI Profile along with additional information for Andre Nelson, a provider established in Minneapolis, Minnesota with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1124073093 assigned on May 2006. The practitioner's primary taxonomy code is 174400000X with license number 18212 (MN). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1124073093
- Provider Name
- ANDRE NELSON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2545 CHICAGO AVE SUITE 512 MINNEAPOLIS, MN 55404
- Location Phone
- (612) 813-6475
- Mailing Address
- 2545 CHICAGO AVE SUITE 512 MINNEAPOLIS, MN 55404
- Mailing Phone
- (612) 813-6475
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 05-22-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 18212
- License State
- MN
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| F58001 | MEDICARE UPIN (02) | MN |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 2 | 4 | 0 | 7 | 3 | 0 | 9 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 4 | 4 | 0 | 7 | 6 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 4 + 4 + 0 + 7 + 6 + 0 + 1 + 8 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1124073093 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790754299 | JOHN STUART WERMAGER MD Individual | Psychiatry & Neurology (Psychiatry) | 2545 CHICAGO AVE SUITE 701 MINNEAPOLIS, MN 55404 (612) 863-5327 |
| 1912966151 | JAMES W KNUDSON MD Individual | Psychiatry & Neurology (Psychiatry) | 2545 CHICAGO AVE SUITE 701 MINNEAPOLIS, MN 55404 (612) 863-5327 |
| 1134181696 | REBECCA L COOK PSYD, LP Individual | Psychologist | 2545 CHICAGO AVE SUITE 701 MINNEAPOLIS, MN 55404 (612) 863-5327 |
| 1780646257 | THOMAS EDWARD NOBLE CRNA Individual | Nurse Anesthetist, Certified Registered | 2545 CHICAGO AVE SUITE 311 MINNEAPOLIS, MN 55404 (612) 871-7639 |
| 1275597957 | MARK L ROA MA, LP Individual | Psychologist | 2545 CHICAGO AVE SUITE 701 MINNEAPOLIS, MN 55404 (612) 863-5327 |
| 1154379733 | GEORGE K MONTGOMERY PHD, LP Individual | Clinical Neuropsychologist | 2545 CHICAGO AVE SUITE 701 MINNEAPOLIS, MN 55404 (612) 863-5327 |
| 1871546903 | MS. KATHRYN MARIE DORR P.A. Individual | Physician Assistant (Surgical) | 2545 CHICAGO AVE SUITE 500 MINNEAPOLIS, MN 55404 (612) 863-7770 |
| 1417902396 | DR. VIRGINIA HUSTEAD MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 2545 CHICAGO AVE SUITE 512 MINNEAPOLIS, MN 55404 (612) 813-6475 |
| 1316992209 | DR. NATHANIEL R PAYNE M.D. Individual | Pediatrics (Neonatal-Perinatal Medicine) | 2545 CHICAGO AVE SUITE 512 MINNEAPOLIS, MN 55404 (612) 813-6475 |
| 1669410544 | RONALD HOEKSTRA MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 2545 CHICAGO AVE SUITE 512 MINNEAPOLIS, MN 55404 (612) 813-6475 |
| 1225076052 | DAVID E BRASEL MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 2545 CHICAGO AVE SUITE 512 MINNEAPOLIS, MN 55404 (612) 813-6475 |
| 1871531665 | DIANE J CAMP MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 2545 CHICAGO AVE SUITE 512 MINNEAPOLIS, MN 55404 (612) 813-6475 |
| 1467490284 | ROBERT COUSER MD Individual | Pediatrics (Neonatal-Perinatal Medicine) | 2545 CHICAGO AVE SUITE 512 MINNEAPOLIS, MN 55404 (612) 813-6475 |
| 1235178484 | DR. AMARJIT SINGH M.D. Individual | Pediatrics (Pediatric Cardiology) | 2545 CHICAGO AVE 106 MINNEAPOLIS, MN 55404 (612) 813-8800 |
| 1518907500 | DR. GREGORY B WRIGHT M.D. Individual | Pediatrics (Pediatric Cardiology) | 2545 CHICAGO AVE 106 MINNEAPOLIS, MN 55404 (612) 813-8800 |
| 1841230869 | MS. DEBRA JO JOHNSON NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 2545 CHICAGO AVE MINNEAPOLIS, MN 55404 (612) 863-4876 |
| 1154366219 | HOSSEIN A ALIABADI MD Individual | Urology | 2545 CHICAGO AVE SUITE 211 MINNEAPOLIS, MN 55404 (612) 813-7900 |
| 1275624561 | DR. JAMES ROBERT MOORE M.D. Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 2545 CHICAGO AVE #512 MINNEAPOLIS, MN 55404 (612) 813-6475 |
| 1518048842 | DR. JASON LOUIS SANCHEZ M.D. Individual | Internal Medicine (Infectious Disease) | 2545 CHICAGO AVE SUITE 17200 MINNEAPOLIS, MN 55404 (612) 799-1939 |
| 1831276229 | RYAN MICHAEL BROMANDER PHARM.D. Individual | Pharmacist | 2545 CHICAGO AVE SUITE 200 MINNEAPOLIS, MN 55404 (612) 863-1130 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1124073093, enumerated in the NPI registry as an "individual" on May 22, 2006
The provider is located at 2545 Chicago Ave Suite 512 Minneapolis, Mn 55404 and the phone number is (612) 813-6475
The provider's speciality is Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 22, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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