NICOLE ELIZABETH KOWALKOWSKI
NPI 1639053531
Nurse Practitioner - Family in Maple Grove, MN
About Nicole Elizabeth Kowalkowski NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE ELIZABETH KOWALKOWSKI (NPI 1639053531) is an individual family provider in Maple Grove, Minnesota, licensed in Minnesota (12823) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and maintains a secondary practice location in Coon Rapids.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Elizabeth Kowalkowski 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Abbott Northwestern Hospital
Acute Care Hospitals · Minneapolis, MNMercy Hospital
Acute Care Hospitals · Coon Rapids, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55369 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kowalkowski's NPI number?
The NPI number for Nicole Kowalkowski is 1639053531. It was assigned to this individual provider in the NPPES registry on August 4, 2025.
Where is Nicole Kowalkowski located?
Nicole Kowalkowski practices at 11297 Kingsview Ln N, Maple Grove, MN 55369. The listed phone number is (763) 226-8133.
What is Nicole Kowalkowski's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Kowalkowski enrolled in Medicare?
Yes. Nicole Kowalkowski 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.
Is Nicole Kowalkowski affiliated with any hospitals?
According to CMS data, Nicole Kowalkowski is affiliated with Abbott Northwestern Hospital and Mercy Hospital.
When was this NPI record last updated?
The NPPES record for Nicole Kowalkowski was last updated on March 26, 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.
# Nicole Elizabeth Kowalkowski · NPI 1639053531
Family physician in Maple Grove, Minnesota. Individual provider, active in the CMS NPPES registry since August 4, 2025.
## Identity
- **NPI:** 1639053531 (Entity type: Individual)
- **Enumerated:** August 4, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 12823 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 11297 KINGSVIEW LN N, Maple Grove, MN 55369-7746
- **Phone:** (763) 226-8133
## 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 2024
## Record status
- **NPPES last updated:** March 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639053531) · Data from the CMS NPPES public registry.