NICOLE ALTSTATT (CNP) – Family Nurse Practitioner, NPI 1982077061

NICOLE ALTSTATT (CNP) is a healthcare provider. based in Hugo, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials CNP. They hold a License No. CNP 4271 (MN). The NPI Number for NICOLE ALTSTATT (CNP) is 1982077061

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE ALTSTATT (CNP)
NPI
1982077061
Phone
(651) 503-7263
Address
15830 FARNHAM AVE N
Enumeration Date
11 November 2015
Last Update Date
13 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128190597
Graduation Year
2015 (11 years ago)
PAC ID
0042510570
Group Practice PAC ID
0749593481
Professional Enrollment ID
I20151204001426
Address ID
MN551062126SA1385XBLVD300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:10State licenses:1Digital endpointsOther names

5,720 NURSE PRACTITIONER in MN

Provider Addresses for NICOLE ALTSTATT (CNP)

  • 15830 FARNHAM AVE N

    HUGO, MN 550389002

    Phone: (651) 503-7263

    Type: Mailing

  • 4786 BANNING AVE

    WHITE BEAR LAKE, MN 551103264

    Phone: (612) 579-0597

    Type: Location

  • 3800 Lexington Ave N

    Shoreview, MN 551262916

    Phone: (651) 486-0048

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 16 Open Payments records for all available years, with a total value of $413.

Total Amount is formed as General ($413) + Research ($0) + Ownership ($0) = $413.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Inspire Medical Systems, Inc. ($334).

Total Amount

$413

General + Research + Ownership

Payments

16

Total payment records

General Amount

$413

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-12-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151204001426INurse PractitionerMNTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes142106$0
99204New patient office or other outpatient visit, 45-59 minutes3636$0
99441Telephone medical discussion with physician, 5-10 minutes2423$0
99203New patient office or other outpatient visit, 30-44 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 55038)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749593481View full group profile
NameSpecialtyState
Nurse PractitionerAZ
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerPA
Nurse PractitionerFL
Nurse PractitionerMN
Sleep Medicine, Pulmonary Disease, Critical Care (Intensivists)RI
Sleep MedicineNJ

Reviews

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Frequently asked questions

Is there an official ID for NICOLE ALTSTATT (CNP) in U.S. healthcare records?
The official identifier for NICOLE ALTSTATT (CNP) is NPI 1982077061.
Active or inactive — what applies to NICOLE ALTSTATT (CNP)?
You should see NICOLE ALTSTATT (CNP) as active in CMS-hosted NPPES data.
What expertise is attributed to NICOLE ALTSTATT (CNP)?
NICOLE ALTSTATT (CNP)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is NICOLE ALTSTATT (CNP) located near Hugo?
NICOLE ALTSTATT (CNP) currently maps to Hugo, Minnesota in this extract.
Can I trust this NPI listing for NICOLE ALTSTATT (CNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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