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Dr. Peter S Nolan , MD

Pediatrics • Mankato, MN

Active NPI 1366421356 Individual Practitioner Male Practitioner
Practice location in NPPES

1230 E Main Street, Mankato Clinic @ Main Street
Mankato, MN 560028674

Call 5076251811 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1230 E Main Street
Mankato Clinic @ Main Street

Mankato, MN 560028674

Telephone 5076251811
Organization at the Same NPPES Address or Phone
Mankato Clinic Express, Llc Facility NPI 1265626964

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Mankato and Minnesota

26 active clinicians are listed under Pediatrics with a practice address in Mankato, MN (1,298 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Mankato

0% of these 26 clinicians have the CMS telehealth indicator.

15.4% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MN 23067

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
938241 (IA)
Other Identifier Bcbs
41485NO (MN)
Other Identifier Medica
1202178 (MN)
Other Identifier Americas Ppo
895687 (MN)
Other Identifier Health Partners
HP25857 (MN)
Other Identifier Ucare
112538 (MN)
Other Identifier Champus
41084933956001C050
Other Identifier Preferred One
NA2951023848 (MN)

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

31 listed
Dr. Kimberly Aho , MD

Psychiatry & Neurology - Neurology

NPI 1154325173

Doctor of Medicine (M.D.)

NPI 1124007463

MACCCA

Abby Barlament , MSW, LICSW

Social Worker - Clinical

NPI 1093225674

Master of Social Work, Licensed Independent Clinical Social Worker

Dr. Robert Bosse , DO

Emergency Medicine

NPI 1114974995

Doctor of Osteopathic Medicine (D.O.)

Dr. Matthew Conetta , PsyD, LP

Psychologist - Clinical

NPI 1083299531

Doctor of Psychology (Psy.D.), Licensed Psychologist

Dr. Tara Denke , MD

Obstetrics & Gynecology

NPI 1124210398

Doctor of Medicine (M.D.)

Career & Practice History

NPI enumerated January 10, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to November 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1366421356
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1230 E Main St, Po Box 8674 Mankato Clinic Ltd

Mankato, MN 560028674

Phone: 5076251811

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.