Andrea R Nicholson (NPI# 1205280005, PAC ID# 0840599361) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205280005 |
| PAC ID by PECOS | 0840599361 |
| Professional Enrollment ID | I20180425001520 |
| Full Name | Andrea R Nicholson |
| Organization Legal Name | MAYO CLINIC HEALTH SYSTEM SOUTHEAST MINNESOTA REGION |
| Address |
908 W Main St Adams MN 55909-9776 |
| Phone Number | 5075823547 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4385556703 |
| Number of Group Practice Members | 571 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 240043 | MAYO CLINIC HEALTH SYSTEM - ALBERT LEA AND AUSTIN |
| Address | Phone | Organization |
|---|---|---|
| 908 W Main St, Adams, MN 55909-9776 | 5075823547 | MAYO CLINIC HEALTH SYSTEM SOUTHEAST MINNESOTA REGION |
| 404 W Fountain St, Albert Lea, MN 56007-2437 | 5073732384 | MAYO CLINIC HEALTH SYSTEM SOUTHEAST MINNESOTA REGION |
| 1000 1st Dr Nw, Austin, MN 55912-2941 | 5074337351 | MAYO CLINIC HEALTH SYSTEM SOUTHEAST MINNESOTA REGION |
| Organization Legal Name | MAYO CLINIC HEALTH SYSTEM SOUTHEAST MINNESOTA REGION |
| Physicians | 500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin N Kastl | Family Medicine | Mayo Clinic Health System Southeast Minnesota Region | 908 W Main St, Adams, MN 55909-9776 |
| Kari A Felten Mylenbusch | Certified Registered Nurse Anesthetist (crna) | Mayo Clinic Health System Southeast Minnesota Region | 1000 1st Dr Nw, Austin, MN 55912-2941 |
| Therese J Campbell | Physician Assistant | Mayo Clinic Health System Southeast Minnesota Region | 2708 Bridge Ave, Albert Lea, MN 56007-2077 |
| Jason A Lee | Physical Medicine and Rehabilitation | Mayo Clinic Health System Southeast Minnesota Region | 300 State Ave, Faribault, MN 55021-6319 |
| Jacob C Kruger | Physician Assistant | Mayo Clinic Health System Southeast Minnesota Region | 2200 Nw 26th St, Owatonna, MN 55060-5503 |
| Thomas W. Rooke | Cardiovascular Disease (cardiology) | Mayo Clinic Health System Southeast Minnesota Region | 701 Hewitt Blvd, Red Wing, MN 55066-2848 |
| Tyler S Oesterle | Psychiatry | Mayo Clinic Health System Southeast Minnesota Region | 404 W Fountain St, Albert Lea, MN 56007-2437 |
| Darcy L Reber | Nurse Practitioner | Mayo Clinic Health System Southeast Minnesota Region | 32021 County 24 Blvd, Cannon Falls, MN 55009-5003 |
| Evie L Christensen | Nurse Practitioner | Mayo Clinic Health System Southeast Minnesota Region | 530 W Cairns St, Ellsworth, WI 54011-9225 |
| Jeffrey M Ketcham | Ophthalmology | Mayo Clinic Health System Southeast Minnesota Region | 6487 Cedar Hills Dr, Cannon Falls, MN 55009-4264 |
| Street Address |
908 W MAIN ST |
| City | ADAMS |
| State | MN |
| Zip | 55909-9776 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin N Kastl | Family Medicine | Mayo Clinic Health System Southeast Minnesota Region | 908 W Main St, Adams, MN 55909-9776 |
| Amy Marie Stier | Nurse Practitioner | Mayo Clinic Health System Southeast Minnesota Region | 908 W Main St, Adams, MN 55909-9776 |
| John A Halerz Ii | Family Medicine | Mayo Clinic Health System Southeast Minnesota Region | 908 W Main St, Adams, MN 55909-9776 |
| Heather Talley | Family Medicine | Mayo Clinic Health System Southeast Minnesota Region | 908 W Main St, Adams, MN 55909-9776 |
| Diana L Nelson | Physician Assistant | Mayo Clinic Health System Southeast Minnesota Region | 908 W Main St, Adams, MN 55909-9776 |
| Joseph R Andrejcik | Chiropractic | 908 W Main St, Louisville, OH 44641-1106 | |
| Aparna S Kaur | Internal Medicine | Mayo Clinic Health System Southeast Minnesota Region | 908 W Main St, Adams, MN 55909-9776 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cody Ernest Kirkpatrick | Chiropractic | 13 W Main St, Adams, MN 55909-9777 |
| City | ADAMS |
| Zip Code | 55909 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | ADAMS + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Andrea R Nicholson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.