Park Nicollet Health Care Products
NPI 1487105995 · Durable Medical Equipment & Medical Supplies · Shakopee, MN
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Park Nicollet Health Care Products is a Durable Medical Equipment & Medical Supplies organization in Shakopee, MN (NPI 1487105995).
Provider details
- NPI number
- 1487105995
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Parent organization
- Park Nicollet
- Organization subpart
- Yes
- Authorized official
- Kristin Brey, Supervisor/Delegated Official(952) 993-6832
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-10-19
- Last updated
- 2024-11-07
- Certified
- 2024-11-07
Frequently asked questions
- What is Park Nicollet Health Care Products's NPI number?
- Park Nicollet Health Care Products's National Provider Identifier (NPI) is 1487105995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Nicollet Health Care Products?
- Park Nicollet Health Care Products is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Park Nicollet Health Care Products located?
- Park Nicollet Health Care Products's practice location on file with NPPES is 1455 Saint Francis Ave, Shakopee, MN 55379-3374.
- What is Park Nicollet Health Care Products's phone number?
- The practice phone number listed in the NPPES registry for Park Nicollet Health Care Products is (952) 993-7644.
- Does Park Nicollet Health Care Products accept Medicare?
- Park Nicollet Health Care Products is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Park Nicollet Health Care Products?
- The authorized official listed on Park Nicollet Health Care Products's NPPES record is Kristin Brey, Supervisor/Delegated Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Nicollet Health Care Products's NPI active?
- Yes — Park Nicollet Health Care Products's NPI (1487105995) is active in the NPPES registry as of the last update on 2024-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.