1. Home
  2. Directory
  3. Minnesota
  4. Byron
  5. Nurse Practitioner
  6. NPI Profile

MRS. MARY JOANNE NICKLAY CNP
NPI 1346618923
Nurse Practitioner in Byron, MN

Active since September 13, 2015
520 1ST AVE NE, BYRON, MN 55920(507) 951-9935 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Mary Joanne Nicklay Cnp NPPES

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

MRS. MARY JOANNE NICKLAY CNP (NPI 1346618923) is an individual nurse practitioner in Byron, Minnesota, licensed in Minnesota (R188315-8) and active in the NPI registry since September 2015. She maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1346618923
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. MARY JOANNE NICKLAYCredential: CNP
Location Address520 1ST AVE NEByron, MN 55920-1422
Mailing Address520 1st Ave NeByron, MN 55920-1422 · (507) 951-9935
Phone(507) 951-9935
Sole ProprietorNo
Enumeration DateSeptember 13, 2015
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1346618923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MN · R188315-8
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
520 1ST AVE NE, Byron, MN 55920
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

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 Mary Nicklay's NPI number?

The NPI number for Mary Nicklay is 1346618923. It was assigned to this individual provider in the NPPES registry on September 13, 2015.

Where is Mary Nicklay located?

Mary Nicklay practices at 520 1st Ave NE, Byron, MN 55920. The listed phone number is (507) 951-9935.

What is Mary Nicklay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mary Nicklay was last updated on January 17, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.