| Nicole J Charles, PAC | |
|
500 S Maple St, Waconia, MN 55387-1752 | |
| (952) 442-2191 | |
| (952) 974-3201 |
| Full Name | Nicole J Charles |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 500 S Maple St, Waconia, 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 |
|---|---|---|---|
| 1104008093 | NPI | - | NPPES |
| 1081 | Other | MN | MN REGISTRATION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 1081 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ridgeview Medical Center | Waconia, MN | Hospital |
| Minnesota Valley Health Center Inc | Le sueur, MN | Hospital |
| Ridgeview Sibley Medical Center | Arlington, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ridgeview Medical Center | 9234041997 | 193 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole J Charles, PAC 4729 County Road 101, Minnetonka, MN 55345-2634 Ph: (952) 974-3200 | Nicole J Charles, PAC 500 S Maple St, Waconia, MN 55387-1752 Ph: (952) 442-2191 |
Laurie K. Grotzinger, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 400, Waconia, MN 55387 Phone: 952-442-7804 | |
Sommer Nicole Vaughan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 560 S Maple St, Suite 200, Waconia, MN 55387 Phone: 952-442-2163 Fax: 952-442-5903 | |
Elizabeth Anne Radke, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 | |
Sarah Talbott, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 | |
Morgan Malley, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 560 S Maple St Ste 200, Waconia, MN 55387 Phone: 952-442-2163 | |
Jason Hicks, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 500 S Maple St, Waconia, MN 55387 Phone: 952-442-2191 |