ANNE BOYD NIKLE (MD) – Dermatology Physician, NPI 1417319633
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
419 DERMATOLOGY in MN
Provider Addresses for ANNE BOYD NIKLE (MD)
9600 Upland Ln N Ste 250
Maple Grove, MN 553694497
Phone: (763) 416-2380
Fax: (763) 502-2966
Type: Location
3833 Coon Rapids Blvd NW Ste 280
Coon Rapids, MN 554332597
Phone: (763) 571-4000
Fax: (763) 502-2966
Type: Location
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 481095000
Phone: (734) 936-4054
Fax: (734) 647-2540
Type: Mailing
119 14TH ST NW STE 240
NEW BRIGHTON, MN 551120007
Phone: (763) 571-4000
Fax: (763) 502-2966
Type: Mailing
11107 ULYSSES ST NE STE 200
BLAINE, MN 554344264
Phone: (763) 571-4000
Fax: (763) 502-2966
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $244.
Total Amount is formed as General ($244) + Research ($0) + Ownership ($0) = $244.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GENZYME CORPORATION ($47).
Total Amount
$244
General + Research + Ownership
Payments
14
Total payment records
General Amount
$244
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-10-11
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 |
|---|---|---|---|---|
| I20211011000588 | I | Dermatology | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 369 | 83 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 228 | 206 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 149 | 129 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 138 | 122 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 102 | 92 | $0 |
Insurance plans in this area (ZIP 55369)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| Dermatology, Micrographic Dermatologic Surgery (Mds) | MN | |
| Undefined Physician Type (Specify), Dermatology | MN | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN | |
| D E R M A T O L O G Y | MN |
Reviews
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