Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLLE MICHELLE LANDE PA
NPI 1881671162
Physician Assistant in St Paul, MN

Active since December 28, 2005PECOS EnrolledAccepts Medicare Assignment
2550 UNIVERSITY AVENUE WEST, SUITE 229N, ST PAUL, MN 55114(651) 645-3115(651) 645-2752 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Nicolle Michelle Lande Pa NPPES

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

NICOLLE MICHELLE LANDE PA (NPI 1881671162) is an individual physician assistant in St Paul, Minnesota, licensed in Minnesota (9821) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1881671162
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLLE MICHELLE LANDECredential: PA
Location Address2550 UNIVERSITY AVENUE WEST, SUITE 229NSt Paul, MN 55114
Mailing Address2550 University Avenue West, Suite 229nSt Paul, MN 55114 · (651) 645-3115 · Fax (651) 645-2752
Fax(651) 645-2752
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 28, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1881671162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MN · 9821
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2550 UNIVERSITY AVENUE WEST, St Paul, MN 55114

Other Identifiers 2

Medicaid486965800MN
Other559K0LAMN · Bcbs Of Mn

Accepted 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

Nicolle Michelle Lande Pa 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 ID4688601198
PECOS Enrollment IDI20050726000607
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55114 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
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
2550 UNIVERSITY AVENUE WEST, SUITE 229N
ST PAUL, MN 55114
Psychologist
2550 UNIVERSITY AVENUE WEST, SUITE 310N THE COURT INTERNATIONAL BUILDING
ST PAUL, MN 55114
Hearing Instrument Specialist
2550 UNIVERSITY AVENUE WEST, SUITE 135N
ST. PAUL, MN 55114
Psychologist
2550 UNIVERSITY AVENUE WEST, SUITE 310N
SAINT PAUL, MN 55114
Psychologist (Clinical)
2550 UNIVERSITY AVENUE WEST, SUITE 229N
ST. PAUL, MN 55114

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 Nicolle Lande's NPI number?

The NPI number for Nicolle Lande is 1881671162. It was assigned to this individual provider in the NPPES registry on December 28, 2005.

Where is Nicolle Lande located?

Nicolle Lande practices at 2550 University Avenue West Suite 229N, St Paul, MN 55114. The listed phone number is (651) 645-3115.

What is Nicolle Lande's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicolle Lande enrolled in Medicare?

Yes. Nicolle Lande 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 Nicolle Lande accept?

Health plans from HealthPartners list Nicolle Lande 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.

When was this NPI record last updated?

The NPPES record for Nicolle Lande was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 50 days 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.