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NPI · 1104008093 · NPPES-sourced

Nicole Charles Pac

ActiveMedical Physician Assistant
NPI Number
1104008093
Type 1 · Individual
Taxonomy Code
363AM0700X
Contact
(952) 442-2191
License MN · 1081
Last Updated
Enumerated
Primary practice addressMN · 55387-1752
500 S Maple StWaconia, MN 55387-1752
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About this NPIWhat this record shows.

NPI 1104008093 is registered to Nicole Charles Pac, a Medical Physician Assistant practising at 500 S Maple St in Waconia, Minnesota. Medical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Nicole Charles Pac has been enumerated in the National Provider Identifier (NPI) registry since 2007.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 1081MN· Issued by MN REGISTRATION

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Nicole Charles Pac accepts. To confirm in-network status with your specific health plan, contact Nicole Charles Pac directly at (952) 442-2191.

Frequently asked

Yes. NPI 1104008093 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Medical Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (952) 442-2191.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Nicole Charles Pac is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363AM0700X
Last updated
Enumerated
StatusActive
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9 records · same addressOther providers at this location.

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Same specialtyOther Medical Physician Assistant providers in Minnesota.

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