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NICOLE ANN MCCORMICK DO
NPI 1679377972
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 03, 2025PECOS Enrolled
701 PARK AVE, MINNEAPOLIS, MN 55415(612) 873-3000 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Ann Mccormick Do NPPES

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

NICOLE ANN MCCORMICK DO (NPI 1679377972) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679377972
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNICOLE ANN MCCORMICKCredential: DO
Location Address701 PARK AVEMinneapolis, MN 55415-1623
Mailing Address701 Park AveMinneapolis, MN 55415-1623 · (612) 873-3000
Phone(612) 873-3000
Sole ProprietorNo
Enumeration DateApril 3, 2025
NPPES CertifiedApril 3, 2025
✔ NPI 1679377972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

701 PARK AVE, Minneapolis, MN 55415
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Ann Mccormick Do 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.

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.

BARBARA KNOLL MD
Radiology (Diagnostic Radiology)
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-2036
DR. PATRICK ALLEN TESTERMAN MD
Anesthesiology
701 PARK AVE, ANESTHESIA P4
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-3458
MS. CAROL JEAN LUDOWESE MS
Genetic Counselor, MS
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-4686
DANA CAROL BROWN MS
Genetic Counselor, MS
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-9308
JANE M SKJERVEN CNM
Advanced Practice Midwife
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-2203
ETHEL L PASTARR CNM
Advanced Practice Midwife
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-2203
KATHLEEN A TURI CNM
Advanced Practice Midwife
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-2203
KAREN S VON RUDEN CNM
Advanced Practice Midwife
701 PARK AVE
MINNEAPOLIS, MN 55415
Hennepin County (612) 873-2203

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 Mccormick's NPI number?

The NPI number for Nicole Mccormick is 1679377972. It was assigned to this individual provider in the NPPES registry on April 3, 2025.

Where is Nicole Mccormick located?

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

What is Nicole Mccormick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicole Mccormick enrolled in Medicare?

Yes. Nicole Mccormick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicole Mccormick was last updated on April 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.