MIRTHA NESHEIM (M.D.) – Family Medicine Physician, NPI 1093780934
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,076 FAMILY PRACTICE in MN
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Provider Addresses for MIRTHA NESHEIM (M.D.)
9800, Rockford Road, Plymouth, Hennepin County, Minnesota, 55442, United States
PLYMOUTH, MN 554422811
Phone: (763) 559-0092
Fax: (763) 559-9404
Type: Mailing
Arbor Lakes Medical Building, 12000, Elm Creek Boulevard, Main Street Arbor Lakes, Maple Grove, Hennepin County, Minnesota, 55369, United States
MAPLE GROVE, MN 553697073
Phone: (763) 420-5822
Fax: (763) 420-6387
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-06-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040603000554 | I | Family Practice | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 148 | 111 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 109 | 69 | $0 |
| 83036 | Hemoglobin a1c level | 72 | 50 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 56 | 45 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 51 | 42 | $0 |
Insurance plans in this area (ZIP 55442)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Qualified Audiologist | MN | |
| Family Practice | MN | |
| - | MN | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
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