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ANNA NICK
NPI 1053065979
Physician Assistant in Duluth, MN

Active since February 09, 2022PECOS EnrolledAccepts Medicare Assignment
915 E 1ST ST, DULUTH, MN 55805(218) 249-5555 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 25, 2024, Feb 9, 2022 (2 updates tracked since 2022).

About Anna Nick NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANNA NICK (NPI 1053065979) is an individual physician assistant in Duluth, Minnesota and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053065979
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANNA NICK
Location Address915 E 1ST STDuluth, MN 55805-2107
Mailing Address3903 Scotch Pine CtEau Claire, WI 54701-7785
Phone(218) 249-5555
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 9, 2022
Last NPPES UpdateJuly 25, 20242 updates tracked since enumeration
NPPES CertifiedJuly 25, 2024
✔ NPI 1053065979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
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.
915 E 1ST ST, Duluth, MN 55805
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Anna Nick is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486191491
PECOS Enrollment IDI20240807002983
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital

Acute Care Hospitals · Duluth, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240047
Location915 East 1st StreetDuluth, MN 55805 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT IAN HALVORSON CRNA
Nurse Anesthetist, Certified Registered
915 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-5555
ST. LUKE'S HOSPITAL OF DULUTH
Nurse Anesthetist, Certified Registered
915 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-5353
MARK PAUL SUOJANEN M.D.
Anesthesiology
915 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-5352
DR. GREGORY K BERNHARDT MD
Emergency Medicine
915 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-5616
ALAN DAVID HAGEN PT
Physical Therapist
915 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-5555
ANTHONY RICHARD GRAND PHARMD
Pharmacist
915 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-5555
EMILY KATHRYN EASH CRNA
Nurse Anesthetist, Certified Registered
915 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-5352
DR. DONALD L LEAKE MD
Anesthesiology
915 E 1ST ST
DULUTH, MN 55805
St. Louis County (218) 249-5353

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Anna Nick's NPI number?

The NPI number for Anna Nick is 1053065979. It was assigned to this individual provider in the NPPES registry on February 9, 2022.

Where is Anna Nick located?

Anna Nick practices at 915 E 1st St, Duluth, MN 55805. The listed phone number is (218) 249-5555.

What is Anna Nick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Anna Nick enrolled in Medicare?

Yes. Anna Nick is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Anna Nick accept?

Health plans from HealthPartners and Medica list Anna Nick as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Anna Nick affiliated with any hospitals?

According to CMS data, Anna Nick is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Anna Nick was last updated on July 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.