Nicole Irene Ellingson Williams, MS, RN, CNP is a medicare enrolled "Nurse Practitioner - Family" in Belle Plaine, Minnesota. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Allina Health System and her current practice location is
700 W Prairie St, Belle Plaine, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 873-2070.
Nicole Irene Ellingson Williams is licensed to practice in Minnesota (license number CNP 1100) 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 1003126707.
Provider's Profile
| Full Name | Nicole Irene Ellingson Williams |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 14 Years |
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| Location | 700 W Prairie St, Belle Plaine, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Nicole Irene Ellingson Williams graduated from nursing school in 2010
NPI Data:
- NPI Number: 1003126707
- Provider Enumeration Date: 10/14/2010
- Last Update Date: 03/11/2021
Medicare PECOS Information:
- PECOS PAC ID: 9931385267
- Enrollment ID: I20110520000226
Medical Identifiers
Medical identifiers for Nicole Irene Ellingson Williams such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003126707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | R 160797 8 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | F0710512 (Minnesota) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CNP 1100 (Minnesota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Allina Health System | 4587573613 | 3071 |
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. Nicole Irene Ellingson Williams allows following entities to bill medicare on her behalf.
| Entity Name | Allina Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460 |
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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. Nicole Irene Ellingson Williams 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 |
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Nicole Irene Ellingson Williams, MS, RN, CNP
8170 33rd Ave S, Po Box 1309 Mail Stop 21110q,
Minneapolis, MN 55425-4516
Ph: (952) 993-4900 | Nicole Irene Ellingson Williams, MS, RN, CNP
700 W Prairie St,
Belle Plaine, MN 56011-1000
Ph: (952) 873-2070 |
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