DR. RANDI NIKKOLINE WICKLUND DNP, FNP-C, CNP
NPI 1679303549
Nurse Practitioner - Family in Fergus Falls, MN

Q: What is Randi Wicklund's NPI number?

The NPI number for Randi Wicklund is 1679303549. It was assigned to this individual provider in the NPPES registry on August 6, 2024.

Q: What is Randi Wicklund's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Randi Wicklund was last updated on September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since August 06, 2024PECOS Enrolled

111 W VERNON AVE, FERGUS FALLS, MN 56537(218) 739-2221 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2024, Aug 6, 2024 (2 updates tracked since 2024).

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About Dr. Randi Nikkoline Wicklund Dnp, Fnp-c, Cnp NPPES

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

DR. RANDI NIKKOLINE WICKLUND DNP, FNP-C, CNP (NPI 1679303549) is an individual family provider in Fergus Falls, Minnesota, licensed in Minnesota (11918) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Lake Region Healthcare Corporation, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1679303549

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. RANDI NIKKOLINE WICKLUNDCredential: DNP, FNP-C, CNP

Location Address111 W VERNON AVEFergus Falls, MN 56537-2741

Mailing Address717 E Gustavus AveFergus Falls, MN 56537-3720 · (701) 426-4002

Phone(218) 739-2221

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 6, 2024

Last NPPES UpdateSeptember 5, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2024

✔ NPI 1679303549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · 11918

111 W VERNON AVE, Fergus Falls, MN 56537

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Randi Nikkoline Wicklund Dnp, Fnp-c, Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345771465

PECOS Enrollment IDI20241001000562

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services17 patients

Removal of impacted ear wax 69210

Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Lake Region Healthcare Corporation

Acute Care Hospitals · Fergus Falls, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240052

Location712 South Cascade StreetFergus Falls, MN 56537 · Otter Tail County

Emergency services

Prairie Ridge Hospital And Health Services

Critical Access Hospitals · Elbow Lake, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241379

Location1411 Highway 79 EElbow Lake, MN 56531 · Grant County

Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350011

Location801 Broadway NorthFargo, ND 58122 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56537 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.

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.

RUBY RINGDAHL

Registered Nurse