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NICHOLAS VINCENT DIFLAVIO PA-C
NPI 1831933589
Physician Assistant - Medical in Saint Croix Falls, WI

Active since June 19, 2024PECOS EnrolledAccepts Medicare Assignment
235 E STATE ST, SAINT CROIX FALLS, WI 54024(715) 483-3261(678) 325-0317 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2025, Jun 24, 2024, Jun 19, 2024 (3 updates tracked since 2024).

About Nicholas Vincent Diflavio Pa-c NPPES

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

NICHOLAS VINCENT DIFLAVIO PA-C (NPI 1831933589) is an individual medical provider in Saint Croix Falls, Wisconsin, licensed in Wisconsin (7992) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Cambridge Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1831933589
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameNICHOLAS VINCENT DIFLAVIOCredential: PA-C
Location Address235 E STATE STSaint Croix Falls, WI 54024-4117
Mailing Address235 E State StSaint Croix Falls, WI 54024-4117 · (715) 483-3261 · Fax (678) 325-0317
Phone(715) 483-3261
Fax(678) 325-0317
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 19, 2024
Last NPPES UpdateApril 3, 20253 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
✔ NPI 1831933589 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
Licenses✔ Licensed in WI · 7992✔ Licensed in MN · 14937
Also ListedPhysician AssistantTaxonomy 363A00000X · License 14937 (MN), 7992-23 (WI)
235 E STATE ST, Saint Croix Falls, WI 54024
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.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

Nicholas Vincent Diflavio 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 ID5799224804
PECOS Enrollment IDI20240903001553
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.

Hospital Affiliations CMS Care Compare 3

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

Cambridge Medical Center

Acute Care Hospitals · Cambridge, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240020
Location701 South Dellwood AvenueCambridge, MN 55008 · Isanti County
Emergency services

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

St Croix Regional Medical Center

Critical Access Hospitals · Saint Croix Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521337
Location235 E State StreetSaint Croix Falls, WI 54024 · Polk 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.

NANCY REYNOLDS HOPPE PTA
Physical Therapy Assistant
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 748-3221
SHAUN TERRANCE OKEEFE PAC, MPAS
Physician Assistant
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-3261
PHILLIP E PETROWITZ PTA
Physical Therapy Assistant
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-3221
COLLEEN E ERB PSY. D.
Psychologist
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-3221
DR. MICHAEL F TIFFANY DO
Obstetrics & Gynecology
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-3261
MUHAMMAD TALHA KHAN M.D.
Internal Medicine (Pulmonary Disease)
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-3221
CHRISTIE DELORIS SHELLY NP
Nurse Practitioner (Gerontology)
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-3261
ALAURA MEISTER PHARMD
Pharmacist
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Polk County (800) 828-3627

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 Diflavio's NPI number?

The NPI number for Nicholas Diflavio is 1831933589. It was assigned to this individual provider in the NPPES registry on June 19, 2024.

Where is Nicholas Diflavio located?

Nicholas Diflavio practices at 235 E State St, Saint Croix Falls, WI 54024. The listed phone number is (715) 483-3261.

What is Nicholas Diflavio's specialty?

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

Is Nicholas Diflavio enrolled in Medicare?

Yes. Nicholas Diflavio 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 Nicholas Diflavio accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Security Health Plan list Nicholas Diflavio 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 Nicholas Diflavio affiliated with any hospitals?

According to CMS data, Nicholas Diflavio is affiliated with Cambridge Medical Center, Allina United Hospital and St Croix Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Diflavio was last updated on April 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.