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MARY NICK PA NPI 1821172057


NPI Information

NPI: 1821172057
Provider Name: MARY NICK, PA
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
Organization: FAIRVIEW EXPRESS CARE

PECOS Registration: Yes

Address:
420 DELAWARE ST SE
MMC 480-UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 625-2654
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Mary Nick, PA is a physician assistant in Minneapolis, MN with 21 years of experience. The provider is 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. Mary Nick, PA NPI is 1821172057. 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:

420 DELAWARE ST SE
MMC 480-UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 625-2654

The NPI 1821172057 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 10/24/2006 and was last updated on 5/8/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical9941MINNESOTANo
2363A00000XPhysician Assistant9941MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12319537OTHERMINNESOTAARAZ
2Q33650MEDICARE UPIN
3HP49622OTHERMINNESOTAHEALTHPARTNERS
401-06279OTHERMINNESOTAMEDICA-PRIMARY
501-19052OTHERMINNESOTAMEDICA-CHOICE
6970002107MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
71043048OTHERMINNESOTAPREFERRED ONE
813265OTHERMINNESOTAUCARE
9856458100MEDICAIDMINNESOTA
104304742MEDICAIDMONTANA
1141999800MEDICAIDWISCONSIN

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.