NICOLE ANDERSON
NPI 1477964336
Nurse Practitioner - Adult Health in North Branch, MN

Q: What is Nicole Anderson's NPI number?

The NPI number for Nicole Anderson is 1477964336. It was assigned to this individual provider in the NPPES registry on May 14, 2014.

Q: What is Nicole Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Anderson was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.

Active since May 14, 2014PECOS EnrolledAccepts Medicare Assignment

5366 386TH ST NE, NORTH BRANCH, MN 55056(651) 674-8353 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Nicole Anderson NPPES

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

NICOLE ANDERSON (NPI 1477964336) is an individual adult health provider in North Branch, Minnesota, licensed in Minnesota (AG0614167) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Welia Health, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1477964336

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameNICOLE ANDERSON

Location Address5366 386TH ST NENorth Branch, MN 55056-5833

Mailing Address9778 Pine Shores DrPine City, MN 55063-4575

Phone(651) 674-8353

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 14, 2014

Last NPPES UpdateJuly 3, 2014

✔ NPI 1477964336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MN · AG0614167

Also ListedRegistered NurseTaxonomy 163W00000X · License R1795291 (MN)

5366 386TH ST NE, North Branch, MN 55056

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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

Nicole Anderson 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 ID3870713746

PECOS Enrollment IDI20140929001016

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Welia Health

Critical Access Hospitals · Mora, MN

OwnershipGovernment - Local

CMS Certification Number241367

Location301 South Highway 65Mora, MN 55051 · Kanabec County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55056 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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers27 claims62 services$6.23 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers11 claims15 services$0.75 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

3 suppliers17 claims1,230 services$0.10 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

3 suppliers20 claims20 services$201.35 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

2 suppliers12 claims12 services$25.92 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

JULIE A VANECK MD

Family Medicine