Nicholle Karen Super, RD, CD - Medicare Dietitian in Menomonie, WI

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Nicholle Karen Super, RD, CD is a medicare enrolled "Dietitian, Registered" provider in Menomonie, Wisconsin. Her current practice location is 2321 Stout Rd, Menomonie, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 235-5531.

Nicholle Karen Super is licensed to practice in Wisconsin (license number 2412-29) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932486024.

Contact Information

Nicholle Karen Super, RD, CD
2321 Stout Rd,
Menomonie, WI 54751-7003
(715) 235-5531
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameNicholle Karen Super
GenderFemale
SpecialityDietitian, Registered
Location2321 Stout Rd, Menomonie, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932486024
  • Provider Enumeration Date: 11/03/2011
  • Last Update Date: 07/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5496922411
  • Enrollment ID: I20120114000030

Medical Identifiers

Medical identifiers for Nicholle Karen Super such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932486024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 2412-29 (Wisconsin)Primary

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. Nicholle Karen Super allows following entities to bill medicare on her behalf.
Provider NameMayo Clinic Health System-northwest Wisconsin Region Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235588831
PECOS PAC ID: 4385553627
Enrollment ID: O20161109002075
Provider NameMayo Clinic Health System-northwest Wisconsin Region Inc
Provider TypePart A Provider - Critical Access Hospital
Provider IdentifiersNPI Number: 1154372944
PECOS PAC ID: 4385553627
Enrollment ID: O20171012000001

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. Nicholle Karen Super 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
Nicholle Karen Super, RD, CD
200 1st St Sw,
Rochester, MN 55905-0001

Ph: (715) 838-5222		Nicholle Karen Super, RD, CD
2321 Stout Rd,
Menomonie, WI 54751-7003

Ph: (715) 235-5531

Reviews and Comments


Dietitian, Registered in Menomonie, WI

Jane M. Foos, R.D.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 2321 Stout Rd, Menomonie, WI 54751
Phone: 715-235-5531    Fax: 715-233-7645
Laura L Knudsen, M.S., R.D.N., C.D.
Dietitian
Medicare: Accepting Medicare Assignments
Practice Location: 2321 Stout Rd, Menomonie, WI 54751
Phone: 715-235-5531    

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.