Nicolle Kahl Wisniewski, MPAS, PA-C - Medicare Physician Assistant in Fairbanks, AK

Nicolle Kahl Wisniewski, MPAS, PA-C is a medicare enrolled "Physician Assistant - Surgical" in Fairbanks, Alaska. Her current practice location is 1001 Noble St, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 459-3500.

Nicolle Kahl Wisniewski is licensed to practice in Alaska (license number 1000) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871579961.

Contact Information

Nicolle Kahl Wisniewski, MPAS, PA-C
1001 Noble St,
Fairbanks, AK 99701-4922
(907) 459-3500
(907) 458-2653

Map and Direction




Provider's Profile

Full NameNicolle Kahl Wisniewski
GenderFemale
SpecialityPhysician Assistant - Surgical
Location1001 Noble St, Fairbanks, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1871579961
  • Provider Enumeration Date: 12/20/2005
  • Last Update Date: 03/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123917796
  • Enrollment ID: I20111205000941

Medical Identifiers

Medical identifiers for Nicolle Kahl Wisniewski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871579961NPI-NPPES
991491900MedicaidMN
1575427MedicaidAK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 1000 (Alaska)Secondary
363AS0400XPhysician Assistant - Surgical 9868 (Minnesota)Secondary
363AS0400XPhysician Assistant - Surgical 1000 (Alaska)Primary

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. Nicolle Kahl Wisniewski 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
Nicolle Kahl Wisniewski, MPAS, PA-C
1919 Lathrop St, Ste # 105,
Fairbanks, AK 99701-5937

Ph: (907) 451-6561
Nicolle Kahl Wisniewski, MPAS, PA-C
1001 Noble St,
Fairbanks, AK 99701-4922

Ph: (907) 459-3500

Reviews and Comments


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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.

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