NICOLE ELIZABETH WORDEN M.D.
NPI 1962797753
Internal Medicine - Cardiovascular Disease in Duluth, MN

Q: What is Nicole Worden's NPI number?

The NPI number for Nicole Worden is 1962797753. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Q: What is Nicole Worden's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Worden was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since June 09, 2011PECOS EnrolledAccepts Medicare Assignment

400 E 3RD ST, DULUTH, MN 55805(218) 786-8364 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 7, 2025, Oct 15, 2018, Jul 20, 2018 (3 updates tracked since 2018).

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About Nicole Elizabeth Worden M.d. NPPES

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

NICOLE ELIZABETH WORDEN M.D. (NPI 1962797753) is an individual cardiovascular disease provider in Duluth, Minnesota, licensed in Minnesota (63580) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Essentia Health St Mary's Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1962797753

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameNICOLE ELIZABETH WORDENCredential: M.D.

Location Address400 E 3RD STDuluth, MN 55805-1951

Mailing Address400 East Third Street, Mcl2credDuluth, MN 55805-1951 · (218) 786-8364

Phone(218) 786-8364

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJune 9, 2011

Last NPPES UpdateMay 7, 20253 updates tracked since enumeration

NPPES CertifiedMay 7, 2025

✔ NPI 1962797753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in MN · 63580

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License R-9240 (IA)

400 E 3RD ST, Duluth, MN 55805

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Elizabeth Worden 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 ID5890923296

PECOS Enrollment IDI20180628003274

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.

Medicare Billing Reassignments

Medicare enrollment records show Nicole Worden reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Duluth Clinic, Ltd

Same address

Multi-Specialty

400 E 3RD ST
Duluth, MN 55805

Reassigned Medicare billing, Minnesota enrollment
1,460 clinicians in this Medicare group

NPI 1245278209 (218) 786-8364

St. Mary's Medical Center

Same address

Emergency Care

407 E 3RD ST
Duluth, MN 55805

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: St Marys Medical Center
179 clinicians in this Medicare group

NPI 1013933936 (218) 786-4000

Essentia Health Virginia, LLC

55 mi

General Acute Care Hospital

901 9TH ST N
Virginia, MN 55792

Reassigned Medicare billing, Minnesota enrollment
171 clinicians in this Medicare group

NPI 1083617120 (218) 741-3340

St Joseph's Medical Center

88 mi

Multi-Specialty

24087 CUYUNA ST
Deerwood, MN 56444

Reassigned Medicare billing, Minnesota enrollment
Medicare enrollment name: St Josephs Medical Center
340 clinicians in this Medicare group

NPI 1033814066 (218) 833-5160

Innovis Health, LLC.

219 mi

Family Medicine

275 11TH ST S
Wahpeton, ND 58075

Reassigned Medicare billing, North Dakota enrollment
617 clinicians in this Medicare group

NPI 1790965440 (701) 642-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

1,612 services1,279 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

89 services87 patients

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.

82 services79 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.

49 services30 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

47 services47 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

45 services45 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

39 services36 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

38 services38 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

33 services33 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

27 services21 patients

Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist 93460

This procedure involves placing a tube into the heart chambers and coronary artery. It helps diagnose heart conditions. A radiologist reviews the images obtained. It's a standard, safe procedure performed by experienced medical professionals.

23 services23 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

20 services18 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

18 services18 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

17 services17 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

16 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

15 services15 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

14 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Essentia Health St Mary's Medical Center

Acute Care Hospitals · Duluth, MN

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240002

Location402 East Second StreetDuluth, MN 55805 · St. Louis County

Emergency services Birthing friendly

Essentia Health Duluth

Acute Care Hospitals · Duluth, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240019

Location502 East Second StreetDuluth, MN 55805 · St. Louis County

Birthing friendly

Essentia Health Virginia

Acute Care Hospitals · Virginia, MN

OwnershipGovernment - Local

CMS Certification Number240084

Location901 9th Street NorthVirginia, MN 55792 · St. Louis County

Birthing friendly

Essentia Health Deer River

Critical Access Hospitals · Deer River, MN

OwnershipVoluntary non-profit - Private

CMS Certification Number241360

Location115 10th Avenue NortheastDeer River, MN 56636 · Itasca County

Emergency services

St Marys Hospital Superior

Critical Access Hospitals · Superior, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521329

Location3500 Tower AveSuperior, WI 54880 · Douglas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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

$127.61 typical visit price

range $56.00 – $168.28

Typical copayment $31.90 (range $14.00 – $42.07)

Most-billed visit code 99204

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 20

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

CHRISTIAN CONNER RN, CRNA

Nurse Anesthetist, Certified Registered

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-4150

DR. BRANDY LEE SWEENEY DO

Anesthesiology

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

JORDAN TICHENOR

Internal Medicine (Infectious Disease)

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-3737

MOLLY B DWYER APRN, CNP

Nurse Practitioner (Psychiatric/Mental Health)

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

AMY MARIE LARSON MD

Hospitalist

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

BRUCE JAMES DERAUF

Radiology (Diagnostic Radiology)

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

NIZAR NAJIB SALEH

Internal Medicine (Cardiovascular Disease)

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

DIANE MAE KOLQUIST

Clinical Nurse Specialist (Medical-Surgical)

400 E 3RD ST
DULUTH, MN 55805

St. Louis County (218) 786-8364

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 Worden's NPI number?

The NPI number for Nicole Worden is 1962797753. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Where is Nicole Worden located?

Nicole Worden practices at 400 E 3rd St, Duluth, MN 55805. The listed phone number is (218) 786-8364.

What is Nicole Worden's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Nicole Worden enrolled in Medicare?

Yes. Nicole Worden 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.

Which organizations bill Medicare for Nicole Worden's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Worden reassigns Medicare benefits to 5 organizations: The Duluth Clinic, Ltd (Duluth, MN), St. Mary's Medical Center (Duluth, MN), Essentia Health Virginia, LLC (Virginia, MN), St Joseph's Medical Center (Deerwood, MN) and Innovis Health, LLC. (Wahpeton, ND). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Worden's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Worden accept?

Health plans from HealthPartners, Sanford Health Plan and Security Health Plan list Nicole Worden 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 Worden affiliated with any hospitals?

According to CMS data, Nicole Worden is affiliated with Essentia Health St Mary's Medical Center, Essentia Health Duluth, Essentia Health Virginia, Essentia Health Deer River and St Marys Hospital Superior.

When was this NPI record last updated?

The NPPES record for Nicole Worden was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.