Nicole Renee Prosser, PA-C - Medicare Physician Assistant in Zimmerman, MN

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Nicole Renee Prosser, PA-C is a medicare enrolled "Physician Assistant" in Zimmerman, Minnesota. She graduated from nursing school in 2000 and has 25 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Fairview Clinics and her current practice location is 25945 Gateway Dr, Zimmerman, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 856-6900.

Nicole Renee Prosser is licensed to practice in Minnesota (license number 9576) 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 1780635003.

Contact Information

Nicole Renee Prosser, PA-C
25945 Gateway Dr,
Zimmerman, MN 55398-5300
(763) 856-6900
Not Available

Map and Direction




Provider's Profile

Full NameNicole Renee Prosser
GenderFemale
SpecialityPhysician Assistant
Experience25 Years
Location25945 Gateway Dr, Zimmerman, 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 Renee Prosser graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1780635003
  • Provider Enumeration Date: 05/12/2006
  • Last Update Date: 05/19/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 4587694377
  • Enrollment ID: I20050822000617

Medical Identifiers

Medical identifiers for Nicole Renee Prosser such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780635003NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 9576 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Fairview Northland Regional HospitalPrinceton, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Clinics7113830142736

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 Renee Prosser 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 Renee Prosser, PA-C
25945 Gateway Dr,
Zimmerman, MN 55398-5300

Ph: () -		Nicole Renee Prosser, PA-C
25945 Gateway Dr,
Zimmerman, MN 55398-5300

Ph: (763) 856-6900

Reviews and Comments


Physician Assistant Nurses in Zimmerman, MN

Steven James Scott, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 25945 Gateway Dr, Zimmerman, MN 55398
Phone: 763-856-6900    
Jessica Elizabeth Thomas, PA
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 12643 Fremont Ave, Zimmerman, MN 55398
Phone: 763-260-4750    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.