1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

NICHOLAS DUBAY MD
NPI 1558940973
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 04, 2021PECOS Enrolled
701 PARK AVE, MINNEAPOLIS, MN 55415(612) 873-3000 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicholas Dubay Md NPPES

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

NICHOLAS DUBAY MD (NPI 1558940973) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558940973
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS DUBAYCredential: MD
Location Address701 PARK AVEMinneapolis, MN 55415-1623
Mailing Address3710 Decatur StOmaha, NE 68111-4014 · (763) 229-1441
Phone(612) 873-3000
Sole ProprietorNo
Enumeration DateApril 4, 2021
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1558940973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License PT24485 (ND), 72401 (MN)
701 PARK AVE, Minneapolis, MN 55415
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

Medicare Billing Reassignment

Medicare enrollment records show Nicholas Dubay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanford Medical Center Fargo
175 mi
Rural Health
211 E MILL ST
Pelican Rapids, MN 56572
  • Reassigned Medicare billing, Minnesota enrollment
  • 376 clinicians in this Medicare group
NPI 1114953627 (218) 863-6100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. MICHAEL CHARLES HARLOW MD
Psychiatry & Neurology (Psychiatry)
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
DANIEL HART
Emergency Medicine
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
GEORGE NOESEN
Dentist (Oral and Maxillofacial Surgery)
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
MRS. CARMODY ALICE SIME LPCC, LADC
Counselor (Professional)
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 432-2008
MR. JUSTIN GREGORY SCHULZ MD
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
EVAN SMITH
Emergency Medicine
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
ALEXA M LYON MD
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000
SUMEDHA REDDY BANDI DO
Student in an Organized Health Care Education/Training Program
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3000

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 Dubay's NPI number?

The NPI number for Nicholas Dubay is 1558940973. It was assigned to this individual provider in the NPPES registry on April 4, 2021.

Where is Nicholas Dubay located?

Nicholas Dubay practices at 701 Park Ave, Minneapolis, MN 55415. The listed phone number is (612) 873-3000.

What is Nicholas Dubay'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 Dubay enrolled in Medicare?

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

Which organization bills Medicare for Nicholas Dubay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Dubay reassigns Medicare benefits to Sanford Medical Center Fargo (Pelican Rapids, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicholas Dubay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicholas Dubay accept?

Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Nicholas Dubay 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 Nicholas Dubay was last updated on June 17, 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.