NICOLE MARIE STOTTER PA-C
NPI 1336620210
Physician Assistant in Apple Valley, MN

Active since August 28, 2018PECOS EnrolledAccepts Medicare Assignment
14655 GALAXIE AVE, APPLE VALLEY, MN 55124(952) 250-4559 Get Directions Write a Review

NPPES record last updated: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 5, 2019, Aug 28, 2018 (2 updates tracked since 2018).

About Nicole Marie Stotter Pa-c NPPES

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

NICOLE MARIE STOTTER PA-C (NPI 1336620210) is an individual physician assistant in Apple Valley, Minnesota and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1336620210
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE MARIE STOTTERCredential: PA-C
Location Address14655 GALAXIE AVEApple Valley, MN 55124-8597
Mailing Address14655 Galaxie AveApple Valley, MN 55124-8597 · (952) 250-4559
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 28, 2018
Last NPPES UpdateJune 22, 20262 updates tracked since enumeration
NPPES CertifiedJune 22, 2026
NPI 1336620210 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.
14655 GALAXIE AVE, Apple Valley, MN 55124

Accepted 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 Marie Stotter Pa-c 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 ID446504161
PECOS Enrollment IDI20181116000396
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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55124 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.

Family Medicine
14655 GALAXIE AVE
APPLE VALLEY, MN 55124
Family Medicine
14655 GALAXIE AVE
APPLE VALLEY, MN 55124
Physician Assistant
14655 GALAXIE AVE
APPLE VALLEY, MN 55124
Nurse Practitioner (Family)
14655 GALAXIE AVE
APPLE VALLEY, MN 55124
Physical Therapist
14655 GALAXIE AVE, SUITE 160
APPLE VALLEY, MN 55124
Nurse Practitioner (Family)
14655 GALAXIE AVE
APPLE VALLEY, MN 55124
Internal Medicine
14655 GALAXIE AVE
APPLE VALLEY, MN 55124
Physician Assistant
14655 GALAXIE AVE
APPLE VALLEY, MN 55124

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 Nicole Stotter's NPI number?

The NPI number for Nicole Stotter is 1336620210. It was assigned to this individual provider in the NPPES registry on August 28, 2018.

Where is Nicole Stotter located?

Nicole Stotter practices at 14655 Galaxie Ave, Apple Valley, MN 55124. The listed phone number is (952) 250-4559.

What is Nicole Stotter's specialty?

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

Is Nicole Stotter enrolled in Medicare?

Yes. Nicole Stotter 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 Nicole Stotter accept?

Health plans from Medica list Nicole Stotter 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.

When was this NPI record last updated?

The NPPES record for Nicole Stotter was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.