MARY NICK (NPI# 1821172057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821172057 |
| Entity Type | Individual |
| Full Name | MARY NICK |
| Credential | PA |
| Practice Address |
420 Delaware St Se Mmc 480-university of Minnesota Physicians Minneapolis MN 55455 |
| Practice Telephone | 6126252654 |
| Mailing Telephone | 6126252654 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2012-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 9941 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
9941 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ARAZ | 2319537 | 01 |
| MN | 856458100 | 05 | |
| MN | UCARE | 13265 | 01 |
| MN | MEDICA-PRIMARY | 01-06279 | 01 |
| MN | PREFERRED ONE | 1043048 | 01 |
| WI | 41999800 | 05 | |
| MN | MEDICA-CHOICE | 01-19052 | 01 |
| MN | HEALTHPARTNERS | HP49622 | 01 |
| MT | 4304742 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245630433 | Mary Jayne Nick | Nurse Practitioner | 2 Hot Metal St Fl 2, Pittsburgh, PA 15203-2348 | 2014-08-26 |
| Street Address |
420 DELAWARE ST SE MMC 480-UNIVERSITY OF MINNESOTA PHYSICIANS |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942202593 | Christopher J Geisler | Physician Assistant | 420 Delaware St Se, Mmc 292; Suite Mayo B228, Minneapolis, MN 55455-0341 | 2005-08-12 |
| 1366056095 | Yuki Shima | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-09-01 |
| 1194348029 | Katarina Elizabeth Cheng | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Mmc 609, Mayo D142, Minneapolis, MN 55455 | 2020-05-27 |
| 1306469630 | Damian Hall | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-21 |
| 1538781588 | Madisen Janssen | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-13 |
| 1023639648 | Della Bro | Genetic Counselor, MS | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-05 |
| 1790306306 | Michael Gregory Michalik | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-05-05 |
| 1679194609 | Xiaolei Shi | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-04-30 |
| 1467073767 | Sergio Michael Navarro | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-04-28 |
| 1295356400 | Jeffrey Lane Bowers | Student in an Organized Health Care Education/Training Program | 420 Delaware St Se, Minneapolis, MN 55455-0341 | 2020-04-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932715679 | Kara Biscobing | Nurse Anesthetist, Certified Registered | M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 | 2020-09-18 |
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1952922148 | Jacob Laurence Tigner | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se, Mmc 284, Minneapolis, MN 55455 | 2020-04-29 |
| 1710507538 | Rachael Grundman | Student in an Organized Health Care Education/Training Program | 420 Delaware St, Mmc 395, Minneapolis, MN 55455 | 2020-04-22 |
| 1497375240 | Sanjay Dhawan | Student in an Organized Health Care Education/Training Program | 420 Delaware St. Se, Mmc 195, Minneapolis, MN 55455 | 2020-04-22 |
| 1508486549 | Dariel Andres Diaz | Student in an Organized Health Care Education/Training Program | 420 Se Delaware Street, Mmc 195, Minneapolis, MN 55455 | 2020-04-20 |
| 1275186280 | Kerem Ozturk | Radiology | B-226 Mayo Memorial Building, Mmc 292 420 Delaware Street S.e., Minneapolis, MN 55455 | 2019-07-18 |
| 1275194631 | Andres Jose Gonzalez Coba | Student in an Organized Health Care Education/Training Program | 420 Delaware Street Se Mmc 284, Minneapolis, MN 55455 | 2019-06-26 |
| 1841850278 | Brendan Andrew Schleyer | Dentist | 515 Delaware St Se, Div of Periodontology, Moos Tower, 7-368, Minneapolis, MN 55455 | 2019-06-18 |
| 1932767399 | Claire-audrey Y Bayan | Student in an Organized Health Care Education/Training Program | 420 Delaware Street, Mmc 98, Minneapolis, MN 55455 | 2019-05-31 |
| Find all providers in zip 55455 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354955 | Sarah Marti | Physician Assistant | 810 Thornton St Se Apt 904, Minneapolis, MN 55414-3652 | 2020-10-25 |
| 1679189021 | Anne Elizabeth Drabot | Physician Assistant | 4741 Vincent Ave S, Minneapolis, MN 55410-1843 | 2020-09-21 |
| 1932714037 | Kseniia Sosinovych | Physician Assistant | 615 E 16th St Apt 202, Minneapolis, MN 55404-1503 | 2020-09-15 |
| 1659986743 | Collin Jeffery Barry | Physician Assistant | 2220 E Franklin Ave Apt 315, Minneapolis, MN 55404-2284 | 2020-09-15 |
| 1568077626 | Alyssa Clements | Physician Assistant | 2211 Riverside Ave # 149, Minneapolis, MN 55454-1350 | 2020-09-14 |
| 1578178703 | Nicholas H Sorenson | Physician Assistant | 129 Melbourne Ave Se Apt 2, Minneapolis, MN 55414-3515 | 2020-09-14 |
| 1861016743 | Meredith Elise Lafond | Physician Assistant | 624 4th Ave Se Apt 2, Minneapolis, MN 55414-1625 | 2020-06-05 |
| 1477182053 | Hannah Grace Johnson | Physician Assistant | 3437 Chicago Ave, Minneapolis, MN 55407-2107 | 2020-04-05 |
| 1851921431 | Nasima Omar | Physician Assistant | 3321 Emerson Ave S, Minneapolis, MN 55408-3528 | 2020-01-22 |
| 1861022600 | Jeremiah Malecek | Physician Assistant | 3755 Bryant Ave N, Minneapolis, MN 55412-2156 | 2020-01-21 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55455 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.