MRS. NICOLE MARIE KIESOW PA-C
NPI 1356502769
Physician Assistant in Fosston, MN
About Mrs. Nicole Marie Kiesow Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICOLE MARIE KIESOW PA-C (NPI 1356502769) is an individual physician assistant in Fosston, Minnesota and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Lifecare Medical Center, and is a graduate of Other (2008).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Nicole Marie Kiesow 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lifecare Medical Center
Critical Access Hospitals · Roseau, MNEssentia Health Fosston
Critical Access Hospitals · Fosston, MNSanford Thief River Falls Medical Center
Critical Access Hospitals · Thief River Falls, MNAltru Hospital
Acute Care Hospitals · Grand Forks, NDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 56542 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kiesow's NPI number?
The NPI number for Nicole Kiesow is 1356502769. It was assigned to this individual provider in the NPPES registry on June 18, 2008.
Where is Nicole Kiesow located?
Nicole Kiesow practices at 111 2nd St NE, Fosston, MN 56542. The listed phone number is (218) 435-1111.
What is Nicole Kiesow's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Nicole Kiesow enrolled in Medicare?
Yes. Nicole Kiesow 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 Kiesow accept?
Health plans from Blue Cross Blue Shield of North Dakota and Medica list Nicole Kiesow 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.
Is Nicole Kiesow affiliated with any hospitals?
According to CMS data, Nicole Kiesow is affiliated with Lifecare Medical Center, Essentia Health Fosston, Sanford Thief River Falls Medical Center and Altru Hospital.
When was this NPI record last updated?
The NPPES record for Nicole Kiesow was last updated on April 24, 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.
# Mrs. Nicole Marie Kiesow, PA-C · NPI 1356502769
Physician Assistant physician in Fosston, Minnesota. Individual provider, active in the CMS NPPES registry since June 18, 2008.
## Identity
- **NPI:** 1356502769 (Entity type: Individual)
- **Enumerated:** June 18, 2008
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 111 2ND ST NE, Fosston, MN 56542-1301
- **Phone:** (218) 435-1111 · **Fax:** (218) 435-1112
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2008
## Record status
- **NPPES last updated:** April 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1356502769) · Data from the CMS NPPES public registry.