Nicolle Marie Nicklas, CRNA in Duluth, MN - Medicare Certified Registered Nurse Anesthetist (crna)

Nicolle Marie Nicklas, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Duluth, Minnesota. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Anesthesiology, P.a. and her current practice location is 219 Garden St., Duluth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 439-7831.

Nicolle Marie Nicklas is licensed to practice in Minnesota (license number R130252-9) 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 1073689295.

Contact Information

	Nicolle Marie Nicklas, CRNA
	219 Garden St., Duluth, MN 55812
	(763) 439-7831
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicolle Marie Nicklas
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	19 Years
Location	219 Garden St., Duluth, Minnesota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicolle Marie Nicklas graduated from nursing school in 2005

NPI Data:

NPI Number: 1073689295
Provider Enumeration Date: 11/28/2006
Last Update Date: 08/17/2009

Medicare PECOS Information:

PECOS PAC ID: 3577571470
Enrollment ID: I20060404000635

Medical Identifiers

Medical identifiers for Nicolle Marie Nicklas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073689295	NPI	-	NPPES
200613280A	Medicaid	KS
368410500	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R130252-9 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Memorial Health	Robbinsdale, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Anesthesiology, P.a.	9335033034	117

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. Nicolle Marie Nicklas allows following entities to bill medicare on her behalf.

Entity Name	American Anesthesiology Of Minnesota Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588669840 PECOS PAC ID: 9335053842 Enrollment ID: O20031118000940

Entity Name	Anesthesiology, P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013960798 PECOS PAC ID: 9335033034 Enrollment ID: O20040212000459

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. Nicolle Marie Nicklas 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 Address	Practice Location Address
Nicolle Marie Nicklas, CRNA 15642 Cobblestone Lake Pkwy, Apple Valley, MN 55124-7829 Ph: (763) 439-7831	Nicolle Marie Nicklas, CRNA 219 Garden St., Duluth, MN 55812 Ph: (763) 439-7831

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Duluth, MN

Christian Conner, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-4150
Scott Ian Halvorson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555
Jennifer M Heitzman, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364
Emily Kathryn Eash, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534
Julie Kay Hendricks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364
Jesse Stokke, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534
Luke Andrew Schumacher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534

Nicolle Marie Nicklas, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Duluth, MN