JODI M NICHOLSON PA-C NPI 1922078344

NPI Information

  • NPI: 1922078344
  • Provider Name: JODI M NICHOLSON, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1527 BROADWAY ST
    ALEXANDRIA, MN
    ZIP 56308
  • Phone: (320) 762-0399

Map and Directions

Get Directions

NPI Details

Jodi M Nicholson, PA-C is a medical physician assistant in Alexandria, MN with 27 years of experience. Jodi M Nicholson, PA-C NPI is 1922078344. 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:

1527 BROADWAY ST
ALEXANDRIA, MN
ZIP 56308-537
Phone: (320) 762-0399
Fax: (320) 762-6847

The NPI 1922078344 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient custodial care facility, group care, or assisted living visit, typically 25 minutes (HCPCS:99335)
  • Established patient custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 1/26/2006 and was last updated on 7/8/2007.

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
1363AM0700XPhysician AssistantMedical9998MINNESOTAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P12681MEDICARE UPINMINNESOTA
21043861OTHERMINNESOTAPREFERRED ONE
3A029OTHERMINNESOTACHAMPUS
42360626OTHERMINNESOTAAMERICA'S PPO
5HP53165OTHERMINNESOTAHEALTH PARTNERS
60121310OTHERMINNESOTAMEDICA
7318G2NIOTHERMINNESOTABLUE SHIELD

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

NPI Synchronization or Removal

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.