| Jodi M Nicholson, PA-C | |
|
1527 Broadway St, Alexandria, MN 56308-2537 | |
| (320) 762-0399 | |
| (320) 762-6847 |
| Full Name | Jodi M Nicholson |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 27 Years |
| Location | 1527 Broadway St, Alexandria, 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. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922078344 | NPI | - | NPPES |
| 318G2NI | Other | MN | BLUE SHIELD |
| A029 | Other | MN | CHAMPUS |
| 2360626 | Other | MN | AMERICA'S PPO |
| HP53165 | Other | MN | HEALTH PARTNERS |
| 0121310 | Other | MN | MEDICA |
| 1043861 | Other | MN | PREFERRED ONE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 9998 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Vivie Home Health | Alexandria, MN | Home health agency |
| Home Care By The Care Campus | Brandon, MN | Home health agency |
| Lake Region Healthcare Corporation | Elbow lake, MN | Hospital |
| Sanford | Fargo, ND | Hospital |
| Alomere Health | Alexandria, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sanford Medical Center Fargo | 8426967803 | 1210 |
| Curana Health Of Minnesota Pllc | 6305233461 | 62 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110701000031 |
| Entity Name | Curana Health of Minnesota PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083365084 PECOS PAC ID: 6305233461 Enrollment ID: O20220420002125 |
| Entity Name | CH Specialty Services MN PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841999158 PECOS PAC ID: 7517331796 Enrollment ID: O20230330001063 |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi M Nicholson, PA-C 1527 Broadway St, Alexandria, MN 56308-2537 Ph: (320) 762-0399 | Jodi M Nicholson, PA-C 1527 Broadway St, Alexandria, MN 56308-2537 Ph: (320) 762-0399 |
Jacob Timothy Mach, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1527 Broadway St, Alexandria, MN 56308 Phone: 320-762-0399 Fax: 320-762-6847 |
Ashlyn Kay Peterson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 17th Ave E Ste 101, Alexandria, MN 56308 Phone: 320-762-1144 Fax: 320-762-1935 |
Ashley Rene Hillard, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1527 Broadway St, Alexandria, MN 56308 Phone: 320-762-0399 |
Karen Kay Dentice Sager, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-5123 |
Scott L. Dack, MPAS/ATC/PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 610 30th Ave W, Alexandria, MN 56308 Phone: 320-763-2540 Fax: 320-763-2540 |
Mrs. Amanda Jo Anderson, P.A.-C. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 17th Ave E Ste 101, Alexandria, MN 56308 Phone: 320-762-1144 Fax: 320-762-1935 |
Mr. Lance Jeffrey Beebout, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 17th Ave E Ste 101, Alexandria, MN 56308 Phone: 320-762-1144 Fax: 320-762-1935 |