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

Mirtha Nesheim, MD

Individual provider Family Medicine Physician · NPI 1093780934

Mirtha Nesheim, MD is a Family Practice in Maple Grove, Minnesota. Qualified in 1990, 36 years ago. Practices with Key Corporation, a 50-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
36
Licensed in
MN
In the registry since
2006
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

12000 Elm Creek Blvd N
Maple Grove, MN 55369-7073
Phone: (763) 420-5822
Fax: (763) 420-6387
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 46595 (MN)

Record details

NPI number1093780934
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 22, 2006
Last updated in NPPESMarch 11, 2021
Certification dateMarch 11, 2021
Mailing address9800 Rockford Rd, Plymouth, MN 55442-2811

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Key Corporation — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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