Nicolle Michelle Lande, PA - Medicare Physician Assistant in St Paul, MN

  1. Home
  2. Physician Assistant
  3. MN
  4. St Paul
Nicolle Michelle Lande, PA is a medicare enrolled "Physician Assistant" in St Paul, Minnesota. She graduated from nursing school in 2003 and has 23 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Psych Recovery Inc and her current practice location is 2550 University Avenue West, Suite 229n, St Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 645-3115.

Nicolle Michelle Lande is licensed to practice in Minnesota (license number 9821) 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 1881671162.

Contact Information

Nicolle Michelle Lande, PA
2550 University Avenue West, Suite 229n,
St Paul, MN 55114
(651) 645-3115
(651) 645-2752

Map and Direction




Provider's Profile

Full NameNicolle Michelle Lande
GenderFemale
SpecialityPhysician Assistant
Experience23 Years
Location2550 University Avenue West, St Paul, 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:
  • Nicolle Michelle Lande graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1881671162
  • Provider Enumeration Date: 12/28/2005
  • Last Update Date: 07/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4688601198
  • Enrollment ID: I20050726000607

Medical Identifiers

Medical identifiers for Nicolle Michelle Lande such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881671162NPI-NPPES
486965800MedicaidMN
559K0LAOtherMNBCBS OF MN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 9821 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Psych Recovery Inc377963391222

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. Nicolle Michelle Lande allows following entities to bill medicare on her behalf.
Entity NamePsych Recovery Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316189541
PECOS PAC ID: 3779633912
Enrollment ID: O20090610000426

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 Michelle Lande 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 Michelle Lande, PA
2550 University Avenue West, Suite 229n,
St Paul, MN 55114

Ph: (651) 645-3115		Nicolle Michelle Lande, PA
2550 University Avenue West, Suite 229n,
St Paul, MN 55114

Ph: (651) 645-3115

Reviews and Comments


Physician Assistant Nurses in St Paul, MN

Mary Lee Mueller, PA C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 640 Jackson St, Mail Stop 11303a, St Paul, MN 55101
Phone: 651-254-4786    Fax: 651-228-8362
Jessica F Jandric, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1026 W 7th Street, St Paul, MN 55102
Phone: 651-241-1000    
Claire Kammier,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 701 25th Ave, St Paul, MN 55108
Phone: 612-330-1388    
Kristy Jordan Lichtenberg, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 225 Smith Ave N, Ste 200, St Paul, MN 55102
Phone: 651-241-5111    Fax: 651-241-5512
Lisa M Lau, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 640 Jackson St, Mc 11102f, St Paul, MN 55101
Phone: 651-254-3456    Fax: 651-254-5216
Michael R Timm, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 640 Jackson St, Mc 11503j, St Paul, MN 55101
Phone: 651-254-5701    Fax: 651-254-1519
Yu Guan,
Physician Assistant
Medicare: May Accept Medicare Assignments
Practice Location: 640 Jackson St, St Paul, MN 55101
Phone: 952-883-5792    

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.