Michael Petty, RN, ACNS-BC, CCNS
Michael Petty, RN, ACNS-BC, CCNS is an Adult Health Clinical Nurse Specialist in Minneapolis, MN, registered under NPI 1255951216. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 500 HARVARD ST SE, Minneapolis, MN 55455. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 095570 | MN | Critical Care Medicine Registered Nurse |
| 71 | MN | Critical Care Medicine Clinical Nurse… |
| 71 | MN | Adult Health Clinical Nurse Specialist primary |
This provider holds licence 095570 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Adult Health covers
Definition to come... NUCC Health Care Provider Taxonomy, code 364SA2200X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 163WC0200X | Critical Care Medicine Registered Nurse Critical Care Medicine | 095570 | MN | |
| 364SC0200X | Critical Care Medicine Clinical Nurse Specialist Critical Care Medicine | 71 | MN | |
| 364SA2200X | Adult Health Clinical Nurse Specialist Adult Health | 71 | MN | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1255951216 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 20, 2020 |
| Last updated | Apr 20, 2020 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Male |
| Credential | RN, ACNS-BC, CCNS |
| Practice address |
500 HARVARD ST SE Minneapolis, MN 55455 (612) 273-5607 Fax (612) 273-9966 |
| Mailing address |
7615 XERXES AVE S Richfield, MN 55423 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 5 | 5 | 9 | 5 | 1 | 2 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 1 | 5 | 9 | 5 | 2 | 2 | 2 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.