Nicholas Moore Southerton, MSN, CNP
NPI 1013691153ActiveIndividual· Nurse Practitioner, Gerontology· Stillwater, MN
Nurse Practitioner, Gerontology (MSN, CNP) with Bluestone Physician Services PA, practicing in Stillwater, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $309,916 for 4,381 claims, against $105,531 paid for services in 2024. Lists M Health Fairview University of Mn Medical Center as a hospital affiliation.
Overview
| NPI | 1013691153 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, CNP |
| Sole proprietor | No |
| NPI issued | Jun 9, 2023 |
| Last updated in NPPES | May 4, 2026 |
| Certified by provider | May 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 10301 | MN |
| Nurse Practitioner | 363L00000X | 10301 | MN |
| Nurse Practitioner, Adult Health | 363LA2200X | 10301 | MN |
| Nurse Practitioner, Primary Care | 363LP2300X | 10301 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 167 |
|---|---|
| Services billed | 1,091 across 23 procedure codes |
| Paid by Medicare | $105,531 |
Part D prescriptions in 2024
| Prescriptions (claims) | 4,381 · 4,413 30-day fills |
|---|---|
| Patients | 202 |
| Total drug cost | $309,916 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Bluestone Physician Services PAStillwater, MN · 63 clinicians
Hospital affiliation
- M Health Fairview University of Mn Medical CenterMinneapolis, MN
Other facilities
- Accurate Home CareHome health agency · Otsego, MN
- Centerwell Home HealthHome health agency · Brooklyn Park, MN
- Interim Healthcare of the Twin CitiesHome health agency · Roseville, MN
- Lifespark Home HealthHome health agency · Saint Louis Park, MN
- Triniti Home Health and HospiceHome health agency · Elk River, MN
- Brighton HospiceHospice · Saint Louis Park, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Gerontology providers in Stillwater
- 1891323408
- 1609632009
- 1003546839
- 1841923307
- 1861250334
- 1548028053
- 1871925479
- 1912281544
- 1699129478
- 1427289222
All Nurse Practitioner, Gerontology providers in Minnesota →