NICOLE LYNN ULRICH D.O.
NPI 1093032484
Family Medicine in Prior Lake, MN

Q: What is Nicole Ulrich's NPI number?

The NPI number for Nicole Ulrich is 1093032484. It was assigned to this individual provider in the NPPES registry on April 26, 2010. The provider is also known as Nicole Lynn Charboneau.

Q: What is Nicole Ulrich's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Ulrich was last updated on May 22, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 26, 2010PECOS EnrolledAccepts Medicare Assignment

4670 PARK NICOLLET AVE SE, PRIOR LAKE, MN 55372(952) 993-8829 Get Directions Write a Review

NPPES record last updated: May 22, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Nicole Lynn Ulrich D.o. NPPES

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

NICOLE LYNN ULRICH D.O. (NPI 1093032484) is an individual family medicine provider in Prior Lake, Minnesota, licensed in Minnesota (54301) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1093032484

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNICOLE LYNN ULRICHCredential: D.O.

Location Address4670 PARK NICOLLET AVE SEPrior Lake, MN 55372-4119

Mailing Address4670 Park Nicollet Ave SePrior Lake, MN 55372-4119 · (952) 993-8829

Phone(952) 993-8829

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateApril 26, 2010

Last NPPES UpdateMay 22, 2015

✔ NPI 1093032484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 54301

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4670 PARK NICOLLET AVE SE, Prior Lake, MN 55372

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Other Names 1

Former Name (1)Nicole Lynn Charboneau

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

Nicole Lynn Ulrich D.o. 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 ID3779754833

PECOS Enrollment IDI20110921000250

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.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

141 services67 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

129 services73 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

48 services39 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

45 services45 patients

Blood creatinine level 82565

A blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.

30 services24 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

29 services27 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

26 services23 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test 85027

A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.

26 services25 patients

Manual urinalysis test with examination using microscope, automated 81001

A manual urinalysis test with automated microscopic examination is a lab process that checks your urine for health indicators. It involves a machine scanning your sample to identify any abnormal elements, which can assist in diagnosing various conditions.

18 services14 patients

Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) 80051

A blood test panel for electrolytes checks the levels of sodium, potassium, chloride, and carbon dioxide in your blood. These elements are crucial for body functions such as maintaining fluid balance, muscle contractions, and heart rhythm. The test helps identify any imbalances.

17 services12 patients

Urine microalbumin (protein) level 82043

The urine microalbumin level test measures the amount of a protein called albumin in your urine. This test helps to detect early signs of kidney damage. High levels of albumin may suggest your kidneys aren't functioning properly. It's a simple, non-invasive test that involves providing a urine sample.

13 services13 patients

Creatinine level to test for kidney function or muscle injury 82570

A creatinine level test measures the amount of creatinine in your blood. This substance is a waste product from normal muscle use. Higher levels can indicate possible kidney dysfunction or muscle injury. This test helps monitor kidney health.

13 services13 patients

Blood potassium level 84132

A blood potassium level test measures the amount of potassium in your blood. Potassium is a vital mineral for the body, helping nerves and muscles, especially the heart, to function properly. Abnormal levels can cause health issues like irregular heartbeat, muscle weakness, or numbness.

12 services12 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

11 services11 patients

Blood sodium level 84295

A blood sodium level test measures the amount of sodium, a vital mineral, in your blood. It helps assess your body's water levels and the function of your nerves and muscles. Abnormal levels may indicate conditions like dehydration, kidney disease, or hormonal imbalances.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240053

Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County

Emergency services Birthing friendly

St Francis Regional Medical Center

Acute Care Hospitals · Shakopee, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number240104

Location1455 St Francis AvenueShakopee, MN 55379 · Scott County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55372 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

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 18

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

BRIDGET NICOLE HOLBROOK PA-C

Physician Assistant