Nicholas Moore Southerton
MSN, CNP
Nurse Practitioner - Gerontology
About Nicholas Moore Southerton
Nicholas Moore Southerton, MSN, CNP, is a male healthcare professional specializing in Nurse Practitioner - Gerontology with a focus on Gerontology, registered under National Provider Identifier (NPI) number 1013691153.
Nicholas Moore Southerton received his medical education at OTHER, graduating in 2023. Their primary practice is located at 270 MAIN ST N STE 300, Stillwater, Minnesota 55082. Patients can reach the office at (651) 342-1039.
Nicholas Moore Southerton is affiliated with 5 hospitals in the area. Nicholas Moore Southerton is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services.
Nicholas Moore Southerton has been NPI-registered since 2023.
Key Metrics
Rx Claims
321
$25,030.96
Practice Locations
1
Affiliated Hospitals
5
Doctor Details
Identity & Credentials
- NPI Number
- 1013691153
- Entity Type
- Individual
- First Name
- Nicholas
- Last Name
- Southerton
- Credential
- MSN, CNP
- Gender
- Male
- Medical School
- OTHER
- Graduation Year
- 2023
- Sole Proprietor
- No
- Status
- active
Primary Practice Location
- Address
- 270 MAIN ST N STE 300
- City
- Stillwater
- State
- Minnesota
- ZIP
- 55082-6788
- Country
- United States
- Phone
- (651) 342-1039
- Fax
- (651) 342-1428
Specialty & Taxonomy
- Primary Specialty
- Nurse Practitioner - Gerontology
- Classification
- Nurse Practitioner
- Specialization
- Gerontology
- Taxonomy Code
- 363LG0600X
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Mailing Address
- Address
- 2124 144TH LN NE
- City
- HAM LAKE
- State
- MN
- ZIP
- 553046260
Medicare Enrollment
- Medicare Enrolled
- Yes
- Can Order/Refer
- Yes
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Nicholas Moore Southerton's NPI number?
What does Nicholas Moore Southerton specialize in?
Where is Nicholas Moore Southerton located?
Does Nicholas Moore Southerton accept Medicare?
Does Nicholas Moore Southerton offer telehealth or virtual visits?
What is an NPI Number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Nicholas Moore Southerton is 1013691153.