Nicole M Dishong, CNM in Edina, MN - Medicare Certified Nurse Midwife (cnm)

Nicole M Dishong, CNM is a medicare enrolled "Advanced Practice Midwife" in Edina, Minnesota. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Premier Obgyn Of Minnesota Pllc and her current practice location is 3625 W 65th St Ste 100, Edina, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 920-7001.

Nicole M Dishong is licensed to practice in Minnesota (license number 304) 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 1205272481.

Contact Information

	Nicole M Dishong, CNM
	3625 W 65th St Ste 100, Edina, MN 55435-2147
	(952) 920-7001
	(952) 920-2245

Map and Direction

Provider's Profile

Full Name	Nicole M Dishong
Gender	Female
Speciality	Certified Nurse Midwife (cnm)
Experience	12 Years
Location	3625 W 65th St Ste 100, Edina, 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:

Nicole M Dishong graduated from nursing school in 2012

NPI Data:

NPI Number: 1205272481
Provider Enumeration Date: 05/15/2013
Last Update Date: 11/21/2022

Medicare PECOS Information:

PECOS PAC ID: 8527208107
Enrollment ID: I20160816001826

Medical Identifiers

Medical identifiers for Nicole M Dishong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205272481	NPI	-	NPPES
H400317380	Other	MN	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	R44853 (New Mexico)	Secondary
176B00000X	Midwife	CNM647 (New Mexico)	Secondary
367A00000X	Advanced Practice Midwife	304 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Obgyn Of Minnesota Pllc	1355396110	70

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 M Dishong allows following entities to bill medicare on her behalf.

Entity Name	Premier Obgyn Of Minnesota Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801946223 PECOS PAC ID: 1355396110 Enrollment ID: O20050315000729

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 M Dishong 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
Nicole M Dishong, CNM 10900 Wayzata Blvd Ste 640, Minnetonka, MN 55305-5602 Ph: (561) 208-5734	Nicole M Dishong, CNM 3625 W 65th St Ste 100, Edina, MN 55435-2147 Ph: (952) 920-7001

Reviews and Comments

Advanced Practice Midwife Nurses in Edina, MN

Taylor Lachapelle, Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6525 France Ave S Ste 100, Edina, MN 55435 Phone: 952-285-6140
Elizabeth Anne Doro, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3625 W 65th St Ste 100, Edina, MN 55435 Phone: 952-920-7001
Mrs. Mary Jo Johnson, CNM, CNP Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 3625 W 65th St Ste 100, Edina, MN 55435 Phone: 952-920-7001
Dr. Laura Rose Baartman Volk, DNP, APRN, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6565 France Ave S Ste 400a, Edina, MN 55435 Phone: 952-225-1630 Fax: 952-225-1609
Katelyn Renee Sola, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 3625 W 65th St Ste 100, Edina, MN 55435 Phone: 952-920-7001
Dr. Anna Marie Revolinski, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6545 France Ave S Ste 100, Edina, MN 55435 Phone: 612-716-3732
Jessica Torres, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 6525 France Ave S, Suite 100, Edina, MN 55435 Phone: 952-285-6140 Fax: 952-924-4026

Nicole M Dishong, CNM - Medicare Certified Nurse Midwife (cnm) in Edina, MN