Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Jo Rickheim

Individual provider Family Nurse Practitioner · NPI 1023568763

Angela Jo Rickheim is a Nurse Practitioner in Rogers, Minnesota. Qualified in 2016, 10 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
10
Licensed in
MN
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

13688 Rogers Dr Ste 230
Rogers, MN 55374-4918
Phone: (952) 977-0300
Fax: (952) 977-0311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1406 6th Ave N, Saint Cloud, MN 56303-1900 — (320) 251-2700

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence CNP4806 (MN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence CNP4806 (MN)

Record details

NPI number1023568763
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 5, 2016
Last updated in NPPESJuly 20, 2023
Certification dateJuly 20, 2023
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Rogers