GLENN A NICKELE (MD) – Cardiovascular Disease Physician, NPI 1093781452
Cardiovascular Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
822 CARDIOVASCULAR DISEASE (CARDIOLOGY) in MN
Provider Addresses for GLENN A NICKELE (MD)
8170 33RD AVE S # MS 21110Q
MINNEAPOLIS, MN 554254516
Phone: (651) 254-5175
Type: Mailing
640 Jackson St
MC 11102H
St Paul, MN 551012502
Phone: (651) 254-5175
Fax: (651) 254-1603
Type: Location
235 STATE STREET
ST. CROIX FALLS, WI 540244117
Phone: (715) 483-3261
Fax: (715) 483-0507
Type: Mailing
Regions Hospital, 640, Jackson Street, Saint Paul, Ramsey County, Minnesota, 55101, United States
MC 11102H
ST PAUL, MN 551012502
Phone: (651) 254-5175
Fax: (651) 254-1603
Type: Location
216 S ADAMS ST
SAINT CROIX FALLS, WI 540249449
Phone: (715) 483-3221
Fax: (715) 483-0507
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $18.
Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.
Last reported payment date: 2024-04-03 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($18).
Total Amount
$18
General + Research + Ownership
Payments
1
Total payment records
General Amount
$18
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $18 |
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: 2012-01-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040123000428 | I | Cardiovascular Disease (Cardiology) | WI | TBD |
| I20120103000597 | I | Cardiovascular Disease (Cardiology) | 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 |
|---|---|---|---|---|
| 93306 | Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 247 | 240 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 12 | 12 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 11 | 11 | $0 |
Insurance plans in this area (ZIP 55425)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | MN | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 382 | 346 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MN | |
| Clinical Psychologist | MN | |
| - | MN | |
| P S Y C H I A T R Y | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| P O D I A T R Y | MN | |
| Physician Assistant | MN | |
| Physician Assistant | MN |
Reviews
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