Nicole J Charles, PAC - Medicare Physician Assistant in Waconia, MN

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Nicole J Charles, PAC is a medicare enrolled "Physician Assistant - Medical" in Waconia, Minnesota. She graduated from nursing school in 2007 and has 19 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Ridgeview Medical Center and her current practice location is 500 S Maple St, Waconia, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 442-2191.

Nicole J Charles is licensed to practice in Minnesota (license number 1081) 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 1104008093.

Contact Information

Nicole J Charles, PAC
500 S Maple St,
Waconia, MN 55387-1752
(952) 442-2191
(952) 974-3201

Map and Direction




Provider's Profile

Full NameNicole J Charles
GenderFemale
SpecialityPhysician Assistant
Experience19 Years
Location500 S Maple St, Waconia, Minnesota
Accepts Medicare AssignmentsYes. 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 J Charles graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1104008093
  • Provider Enumeration Date: 12/03/2007
  • Last Update Date: 03/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0749361434
  • Enrollment ID: I20080119000009

Medical Identifiers

Medical identifiers for Nicole J Charles such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104008093NPI-NPPES
1081OtherMNMN REGISTRATION

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 1081 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ridgeview Medical CenterWaconia, MNHospital
Ridgeview Lesueur Medical CenterLe sueur, MNHospital
Ridgeview Sibley Medical CenterArlington, MNHospital
Ridgeview Sibley Medical CenterArlington, MNNursing home
Minnesota Valley Health Center IncLe sueur, MNNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ridgeview Medical Center9234041997407

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 J Charles allows following entities to bill medicare on her behalf.
Entity NameRidgeview Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528364429
PECOS PAC ID: 9234041997
Enrollment ID: O20031111000183
Entity NameMinnesota Valley Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730248907
PECOS PAC ID: 9032006507
Enrollment ID: O20040301000309
Entity NameSibley Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740240225
PECOS PAC ID: 3870722499
Enrollment ID: O20140418000315

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 J Charles 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 AddressPractice 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

Reviews and Comments


Physician Assistant Nurses in Waconia, MN

Laurie K. Grotzinger, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 424 W State Highway 5, Waconia, MN 55387
Phone: 952-442-4461    Fax: 952-442-1547
Ms. To Uyen T Pham,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 500 S Maple St, Waconia, MN 55387
Phone: 952-442-2191    
Levon John Mueller, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 560 S Maple St Ste 200, Waconia, MN 55387
Phone: 952-442-2163    Fax: 952-442-5903
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
Kendra Anastasia Pallin, MS, MHS, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 875 E Main St, Waconia, MN 55387
Phone: 952-442-9334    
Elizabeth Anne Radke, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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