NICOLE KRISTINE-BAUR BAKKEN NP NPI 1134487176

NPI Information

  • NPI: 1134487176
  • Provider Name: NICOLE KRISTINE-BAUR BAKKEN, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3500 TOWER AVE
    ESSENTIA HEALTH ST. MARY'S SUPERIOR CLINIC
    SUPERIOR, WI
    ZIP 54880
  • Phone: (715) 395-5454

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NPI Details

Nicole Kristine-baur Bakken, NP is a family nurse practitioner in Superior, WI. Nicole Kristine-baur Bakken, NP NPI is 1134487176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3500 TOWER AVE
ESSENTIA HEALTH ST. MARY'S SUPERIOR CLINIC
SUPERIOR, WI
ZIP 54880-335
Phone: (715) 395-5454

The NPI 1134487176 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/27/2012 and was last updated on 9/4/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR186893-7MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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