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

Anne B Neeley, MD

Individual provider Dermatology Physician · NPI 1104143437

Anne B Neeley, MD is a Dermatology in St Louis Park, Minnesota. Graduated from Creighton University School of Medicine in 2010, 16 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas, Minnesota and Missouri.

Years since qualifying
16
Trained at
Creighton University School of Medicine
Licensed in
KS, MN, MO
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3800 Park Nicollet Blvd
St Louis Park, MN 55416-2527
Phone: (952) 993-3123
Fax: (952) 993-3286
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1900 Sunrise Dr, Saint Peter, MN 56082-5376 — (507) 934-2144

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 60530 (MN)
Dermatology Physician Taxonomy 207N00000X · Licence 2014011571 (MO)
Dermatology Physician Taxonomy 207N00000X · Licence 04-38017 (KS)

Record details

NPI number1104143437
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 27, 2010
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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