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Active NPI 1770876187 Individual Practitioner Male Practitioner

Duane Oliver Koivisto , LPN

Licensed Practical Nurse • Stillwater, MN

Professional Overview & Biography Verified Profile Summary

Duane Koivisto, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Stillwater, MN. Practice services are available at 11400 JULIANNE AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11400 Julianne Ave N

Stillwater, MN 550829436

Telephone 6514263300
Fax 6514260419
Associated Practice Facility / Clinic
🏢 Cedar Ridge, Inc Facility NPI 1043424047

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Stillwater, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Stillwater, MN (881 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License MN L 63350-3

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Lori Beckwith , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1033436167

Licensed Alcohol and Drug Counselor

Patricia Miller , MA, LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1578971289

Master of Arts, Licensed Alcohol and Drug Counselor

Ashley Beck , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1619260684

Licensed Alcohol and Drug Counselor

Steven Lefkowich , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1649563222

Licensed Alcohol and Drug Counselor

Stephanie Gilquist , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1659664209

Licensed Alcohol and Drug Counselor

Brett Baker , LADC

Counselor - Addiction (Substance Use Disorder)

NPI 1710270392

Licensed Alcohol and Drug Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 18, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location May 18, 2011

Registered at 11400 JULIANNE AVE N, STILLWATER, MN 550829436 (Tel: 6514263300)

📍
Updated Business Mailing Address May 18, 2011

Registered at 2532 1ST AVE S, #104, MINNEAPOLIS, MN 554044368 (Tel: 6128252905)

👤
Provider Name / Credentials Updated May 18, 2011

Recorded as DUANE KOIVISTO, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2011

Licensed Practical Nurse (License #L 63350-3 in MN)

🟢
Initial NPI Registration & Enumeration May 18, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1770876187
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2011
Last Update: May 18, 2011
Sole Proprietor: No

Mailing Address

2532 1st Ave S, #104

Minneapolis, MN 554044368

Phone: 6128252905

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.