NICHOLAS DICK MD
NPI 1336727411
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since March 31, 2021PECOS Enrolled
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455(316) 573-7000 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 19, 2026, Mar 31, 2021 (2 updates tracked since 2021).

About Nicholas Dick Md NPPES

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

NICHOLAS DICK MD (NPI 1336727411) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2021).

NPPES Registry Identity

NPI1336727411
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS DICKCredential: MD
Location Address420 DELAWARE ST SEMinneapolis, MN 55455-0341
Mailing Address420 Delaware St Se, Mmc 292Minneapolis, MN 55455 · (316) 573-7000
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2021
Enumeration DateMarch 31, 2021
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
NPI 1336727411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
420 DELAWARE ST SE, Minneapolis, MN 55455

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Nicholas Dick Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153708698
PECOS Enrollment IDI20260601000927
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.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
420 DELAWARE ST SE, C463 MAYO MEMORIAL BLDG, MAYO MAIL CODE 76
MINNEAPOLIS, MN 55455
Physician Assistant
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE, MMC 11
MINNEAPOLIS, MN 55455
Physical Medicine & Rehabilitation
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Internal Medicine (Hematology & Oncology)
420 DELAWARE ST SE, MMC 480
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455
Student in an Organized Health Care Education/Training Program
420 DELAWARE ST SE
MINNEAPOLIS, MN 55455

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 Nicholas Dick's NPI number?

The NPI number for Nicholas Dick is 1336727411. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Nicholas Dick located?

Nicholas Dick practices at 420 Delaware St SE, Minneapolis, MN 55455. The listed phone number is (316) 573-7000.

What is Nicholas Dick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicholas Dick enrolled in Medicare?

Yes. Nicholas Dick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Dick was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.