WILL NICHOLSON M.D.
NPI 1881808780
Family Medicine in Saint Paul, MN

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
87.63/100
CMS Quality Rating
1414 MARYLAND AVE E, SAINT PAUL, MN 55106(651) 722-3461(651) 772-2605 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Will Nicholson M.d. NPPES

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

WILL NICHOLSON M.D. (NPI 1881808780) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (NONE) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview St John's Hospital, and is a graduate of University Of Minnesota Medical School (2006).

NPPES Registry Identity

NPI1881808780
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameWILL NICHOLSONCredential: M.D.
Location Address1414 MARYLAND AVE ESaint Paul, MN 55106-2824
Mailing Address2590 Bittersweet LnMaplewood, MN 55109-2104 · (651) 470-5522
Fax(651) 772-2605
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2006
Enumeration DateMay 9, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1881808780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · NONE
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1414 MARYLAND AVE E, Saint Paul, MN 55106

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

Will Nicholson M.d. 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 ID42390643
PECOS Enrollment IDI20080109000107
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 3

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.

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.
47 services42 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
23 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
17 services16 patients

Hospital Affiliations CMS Care Compare 2

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

M Health Fairview St John's Hospital

Acute Care Hospitals · Maplewood, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240210
Location1575 Beam AvenueMaplewood, MN 55109 · Ramsey County
Emergency services Birthing friendly

M Health Fairview Woodwinds Hospital

Acute Care Hospitals · Woodbury, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240213
Location1925 Woodwinds DriveWoodbury, MN 55125 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55106 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.78
Promoting Interoperability100
Improvement Activities40
Cost71.59

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$57.15 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
General Practice
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Family Medicine
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Student in an Organized Health Care Education/Training Program
1414 MARYLAND AVE E
SAINT PAUL, MN 55106
Family Medicine
1414 MARYLAND AVE E, UMPHYSICIANS PHALEN VILLAGE CLINIC
ST. PAUL, MN 55106

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 Will Nicholson's NPI number?

The NPI number for Will Nicholson is 1881808780. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Will Nicholson located?

Will Nicholson practices at 1414 Maryland Ave E, Saint Paul, MN 55106. The listed phone number is (651) 722-3461.

What is Will Nicholson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Will Nicholson enrolled in Medicare?

Yes. Will Nicholson 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 Will Nicholson accept?

Health plans from Medica and Sanford Health Plan list Will Nicholson 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 Will Nicholson affiliated with any hospitals?

According to CMS data, Will Nicholson is affiliated with M Health Fairview St John's Hospital and M Health Fairview Woodwinds Hospital.

When was this NPI record last updated?

The NPPES record for Will Nicholson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.