NICHOLE MARIE DORN APRN
NPI 1144658063
Nurse Practitioner - Family in Duluth, MN

Q: What is Nichole Dorn's NPI number?

The NPI number for Nichole Dorn is 1144658063. It was assigned to this individual provider in the NPPES registry on October 31, 2013.

Q: What is Nichole Dorn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Nichole Dorn was last updated on January 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 31, 2013PECOS EnrolledAccepts Medicare Assignment

619 W CENTRAL ENTRANCE, DULUTH, MN 55811(218) 249-4987(218) 249-4989 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 19, 2021, Feb 27, 2019 (2 updates tracked since 2019).

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About Nichole Marie Dorn Aprn NPPES

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

NICHOLE MARIE DORN APRN (NPI 1144658063) is an individual family provider in Duluth, Minnesota, licensed in Minnesota (6334) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains a secondary practice location in Omaha.

NPPES Registry Identity

NPI1144658063

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameNICHOLE MARIE DORNCredential: APRN

Location Address619 W CENTRAL ENTRANCEDuluth, MN 55811

Mailing Address619 W Central EntranceDuluth, MN 55811-5448 · (218) 249-4987 · Fax (218) 249-4989

Phone(218) 249-4987

Fax(218) 249-4989

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateOctober 31, 2013

Last NPPES UpdateJanuary 19, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2021

✔ NPI 1144658063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MN · 6334✔ Licensed in NE · 111578

619 W CENTRAL ENTRANCE, Duluth, MN 55811

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Secondary Practice Location 1

Location 12602 J StOmaha, NE 68107-1643 · Phone (402) 733-3612 · Fax (402) 733-3487

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Nichole Marie Dorn Aprn 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 ID749411932

PECOS Enrollment IDI20190225002730

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

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.

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.

16 services16 patients

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 55811 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 7

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

KAREN LILYQUIST CNP

Nurse Practitioner (Family)