Mrs Nicole Marie Kiesow, PA-C in Fosston, MN - Medicare Physician Assistant

Mrs Nicole Marie Kiesow, PA-C is a medicare enrolled "Physician Assistant" in Fosston, Minnesota. She graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice First Care Medical Services, Altru Health System and her current practice location is 111 2nd St Ne, Fosston, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 435-1111.

Mrs Nicole Marie Kiesow is licensed to practice in * (Not Available) (license number ) 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 1356502769.

Contact Information

	Mrs Nicole Marie Kiesow, PA-C
	111 2nd St Ne, Fosston, MN 56542-1301
	(218) 435-1111
	(218) 435-1112

Map and Direction

Provider's Profile

Full Name	Mrs Nicole Marie Kiesow
Gender	Female
Speciality	Physician Assistant
Experience	17 Years
Location	111 2nd St Ne, Fosston, 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:

Mrs Nicole Marie Kiesow graduated from nursing school in 2008

NPI Data:

NPI Number: 1356502769
Provider Enumeration Date: 06/18/2008
Last Update Date: 10/22/2025

Medicare PECOS Information:

PECOS PAC ID: 6800957986
Enrollment ID: I20081208000411

Medical Identifiers

Medical identifiers for Mrs Nicole Marie Kiesow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356502769	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health Fosston	Fosston, MN	Hospital
Lifecare Medical Center	Roseau, MN	Hospital
Sanford Medical Center Thief River Falls	Thief river falls, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
First Care Medical Services	3678542842	16
Altru Health System	1355251604	554

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. Mrs Nicole Marie Kiesow 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
Mrs Nicole Marie Kiesow, PA-C 900 Hilligoss Blvd Se, Fosston, MN 56542 Ph: (218) 435-1212	Mrs Nicole Marie Kiesow, PA-C 111 2nd St Ne, Fosston, MN 56542-1301 Ph: (218) 435-1111

Reviews and Comments

Physician Assistant Nurses in Fosston, MN

Corinne A Dargus, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 102 Sather Dr, Fosston, MN 56542 Phone: 218-435-1212 Fax: 218-435-1302
Bryan Mikael Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 2nd St Ne, Fosston, MN 56542 Phone: 218-435-1111 Fax: 218-435-1112

Mrs Nicole Marie Kiesow, PA-C - Medicare Physician Assistant in Fosston, MN