Nicole Theisen, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Prior Lake, MN

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Nicole Theisen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Prior Lake, Minnesota. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Minnesota Anesthesia Specialists Pllc and her current practice location is 3199 Timberwolf Cir Nw, Prior Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 860-6602.

Nicole Theisen is licensed to practice in Minnesota (license number R1718621) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1164854188.

Contact Information

Nicole Theisen, CRNA
3199 Timberwolf Cir Nw,
Prior Lake, MN 55372-3271
(612) 860-6602
Not Available

Map and Direction




Provider's Profile

Full NameNicole Theisen
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience11 Years
Location3199 Timberwolf Cir Nw, Prior Lake, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Theisen graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1164854188
  • Provider Enumeration Date: 08/01/2013
  • Last Update Date: 01/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 7416182217
  • Enrollment ID: I20131104000285

Medical Identifiers

Medical identifiers for Nicole Theisen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164854188NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R1718621 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minnesota Anesthesia Specialists Pllc84264230395

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Theisen allows following entities to bill medicare on her behalf.
Entity NameMetropolitan Anesthesia Network Llp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558314427
PECOS PAC ID: 5698689123
Enrollment ID: O20031118000579
Entity NameSt Francis Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447605514
PECOS PAC ID: 7214821909
Enrollment ID: O20040212000408
Entity NameSouthdale Anesthesiologists Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154381804
PECOS PAC ID: 6709842461
Enrollment ID: O20041203000743
Entity NameAms Maple Grove Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871913582
PECOS PAC ID: 8527287762
Enrollment ID: O20140919001422
Entity NameAmbulatory Anesthesia Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023574084
PECOS PAC ID: 0143561589
Enrollment ID: O20190411000986
Entity NameMinnesota Anesthesia Specialists Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710693320
PECOS PAC ID: 8426423039
Enrollment ID: O20230413001081

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Theisen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Theisen, CRNA
3199 Timberwolf Cir Nw,
Prior Lake, MN 55372-3271

Ph: (612) 860-6602		Nicole Theisen, CRNA
3199 Timberwolf Cir Nw,
Prior Lake, MN 55372-3271

Ph: (612) 860-6602

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Prior Lake, MN

Mr. Jed W Adams, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1415 Saint Francis Ave, Anesthesiology, Prior Lake, MN 55379
Phone: 952-402-9499    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.