| Nicole A Underdahl, CRNA | |
|
2305 37th Ave Sw, Minot, ND 58701-7669 | |
| (701) 857-5000 | |
| Not Available |
| Full Name | Nicole A Underdahl |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 16 Years |
| Location | 2305 37th Ave Sw, Minot, North Dakota |
| 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 |
|---|---|---|---|
| 1598090250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R26783 (North Dakota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Trinity Hospitals | Minot, ND | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Trinity Health | 7911816020 | 283 |
| Entity Name | Trinity Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316 |
| Entity Name | St Aloisius Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457477218 PECOS PAC ID: 6002802378 Enrollment ID: O20040422000286 |
| Entity Name | St Aloisius Hospital Inc |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1457477218 PECOS PAC ID: 6002802378 Enrollment ID: O20080421000213 |
| Entity Name | North Dakota Anesthesia Services Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710533989 PECOS PAC ID: 6002282134 Enrollment ID: O20221014001375 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole A Underdahl, CRNA Po Box 5010, Minot, ND 58702-5010 Ph: (701) 418-8000 | Nicole A Underdahl, CRNA 2305 37th Ave Sw, Minot, ND 58701-7669 Ph: (701) 857-5000 |
Myca L Kleespie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2305 37th Ave Sw, Minot, ND 58701 Phone: 701-857-5000 | |
Gloria E Maragos, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Burdick Expy W, Minot, ND 58701 Phone: 701-857-5124 Fax: 701-857-3264 | |
Kyla Rae Snyder, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2305 37th Ave Sw, Minot, ND 58701 Phone: 701-418-8000 | |
Renee P Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Burdick Expy W, Minot, ND 58701 Phone: 701-857-5124 Fax: 701-857-3264 | |
Terry Lynn Stock, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Burdick Expy W, Minot, ND 58701 Phone: 701-857-5124 Fax: 701-857-3264 | |
Tessa M Hartmann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Burdick Expy W, Minot, ND 58701 Phone: 701-857-5124 Fax: 701-857-3264 | |
Terri R Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2305 37th Ave Sw, Minot, ND 58701 Phone: 701-857-5000 |