MRS. NICOLE ELIZABETH FOGT PA-C
NPI 1770909749
Physician Assistant - Medical in Saint Cloud, MN

Q: What is Nicole Fogt's NPI number?

The NPI number for Nicole Fogt is 1770909749. It was assigned to this individual provider in the NPPES registry on March 13, 2014. The provider is also known as Nicole Elizabeth Larson.

Q: What is Nicole Fogt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Fogt was last updated on April 1, 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 March 13, 2014PECOS EnrolledAccepts Medicare Assignment

1200 6TH AVE N, CENTRACARE CLINIC, SAINT CLOUD, MN 56303(320) 656-7020 Get Directions Write a Review

NPPES record last updated: April 1, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Nicole Elizabeth Fogt Pa-c NPPES

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

MRS. NICOLE ELIZABETH FOGT PA-C (NPI 1770909749) is an individual medical provider in Saint Cloud, Minnesota, licensed in Minnesota (11514) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Alomere Health, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1770909749

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. NICOLE ELIZABETH FOGTCredential: PA-C

Location Address1200 6TH AVE N, CENTRACARE CLINICSaint Cloud, MN 56303-2735

Mailing Address1200 6th Ave N, Centracare ClinicSaint Cloud, MN 56303-2735 · (320) 656-7020

Phone(320) 656-7020

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateMarch 13, 2014

Last NPPES UpdateApril 1, 2014

✔ NPI 1770909749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in MN · 11514

Also ListedPhysician AssistantTaxonomy 363A00000X · License 11514 (MN)

1200 6TH AVE N, Saint Cloud, MN 56303

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Other Names 1

Other Name (5)Nicole Elizabeth Larson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, 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 and accepts Medicare assignment

Mrs. Nicole Elizabeth Fogt Pa-c 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 ID3870725013

PECOS Enrollment IDI20140422001576

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 4

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

123 services117 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

49 services38 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services27 patients

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.

14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Alomere Health

Acute Care Hospitals · Alexandria, MN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number240030

Location111 17th Avenue EastAlexandria, MN 56308 · Douglas County

Emergency services Birthing friendly

St Cloud Hospital

Acute Care Hospitals · Saint Cloud, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240036

Location1406 6th Ave NorthSaint Cloud, MN 56303 · Stearns County

Emergency services Birthing friendly

Centracare Health System - Melrose Hospital

Critical Access Hospitals · Melrose, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241330

Location525 West Main StreetMelrose, MN 56352 · Stearns County

Emergency services Birthing friendly

Centracare Health Paynesville Hospital

Critical Access Hospitals · Paynesville, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241349

Location200 1st Street WestPaynesville, MN 56362 · Stearns County

Emergency services Birthing friendly

Meeker Memorial Hospital

Critical Access Hospitals · Litchfield, MN

OwnershipGovernment - Local

CMS Certification Number241366

Location612 South Sibley AvenueLitchfield, MN 55355 · Meeker County

Emergency services

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.

ELIZABETH RENDE

Pediatrics

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 251-2700

LYNN M WELLNER REGISTERED NURSE

Registered Nurse

1200 6TH AVE N
ST CLOUD, MN 56303

Stearns County (320) 240-2206

BHARATH MANU AKKARA VEETIL MBBS

Internal Medicine (Rheumatology)

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 252-5131

ABIGAIL HOLMBERG PA

Physician Assistant (Medical)

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 240-2829

JESSICA HOLLENKAMP CNP

Nurse Practitioner

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 252-5131

CHRISTINA K ANDERSON MD

Dermatology

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 252-5131

YAGA SAINE RN, CNP

Nurse Practitioner (Adult Health)

1200 6TH AVE N, CENTRACARE CLINIC
SAINT CLOUD, MN 56303

Stearns County (320) 656-7020

JYH-YAU TSAUR MD

Internal Medicine

1200 6TH AVE N
SAINT CLOUD, MN 56303

Stearns County (320) 252-5131

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 Fogt's NPI number?

The NPI number for Nicole Fogt is 1770909749. It was assigned to this individual provider in the NPPES registry on March 13, 2014. The provider is also known as Nicole Elizabeth Larson.

Where is Nicole Fogt located?

Nicole Fogt practices at 1200 6th Ave N Centracare Clinic, Saint Cloud, MN 56303. The listed phone number is (320) 656-7020.

What is Nicole Fogt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicole Fogt enrolled in Medicare?

Yes. Nicole Fogt 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.

What insurance does Nicole Fogt accept?

Health plans from HealthPartners, Medica and Sanford Health Plan list Nicole Fogt 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.

Is Nicole Fogt affiliated with any hospitals?

According to CMS data, Nicole Fogt is affiliated with Alomere Health, St Cloud Hospital, Centracare Health System - Melrose Hospital, Centracare Health Paynesville Hospital and Meeker Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Nicole Fogt was last updated on April 1, 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.