Nicole A Underdahl, CRNA in Minot, ND - Medicare Certified Registered Nurse Anesthetist (crna)

Nicole A Underdahl, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Minot, North Dakota. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Trinity Health and her current practice location is 2305 37th Ave Sw, Minot, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 857-5000.

Nicole A Underdahl is licensed to practice in North Dakota (license number R26783) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598090250.

Contact Information

	Nicole A Underdahl, CRNA
	2305 37th Ave Sw, Minot, ND 58701-7669
	(701) 857-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole A Underdahl
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	15 Years
Location	2305 37th Ave Sw, Minot, North Dakota
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nicole A Underdahl graduated from nursing school in 2009

NPI Data:

NPI Number: 1598090250
Provider Enumeration Date: 10/13/2009
Last Update Date: 12/27/2023

Medicare PECOS Information:

PECOS PAC ID: 0547308066
Enrollment ID: I20091103000491

Medical Identifiers

Medical identifiers for Nicole A Underdahl such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598090250	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R26783 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Trinity Hospitals	Minot, ND	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Trinity Health	7911816020	277

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole A Underdahl allows following entities to bill medicare on her behalf.

Entity Name	Trinity Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083653752 PECOS PAC ID: 7911816020 Enrollment ID: O20031106000316

Entity Name	North Dakota Anesthesia Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710533989 PECOS PAC ID: 6002282134 Enrollment ID: O20221014001375

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole A Underdahl is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole A Underdahl, CRNA Po Box 5010, Minot, ND 58702-5010 Ph: (701) 418-8000	Nicole A Underdahl, CRNA 2305 37th Ave Sw, Minot, ND 58701-7669 Ph: (701) 857-5000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Minot, ND

Myca L Kleespie, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2305 37th Ave Sw, Minot, ND 58701 Phone: 701-857-5000
Gloria E Maragos, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1 Burdick Expy W, Minot, ND 58701 Phone: 701-857-5124 Fax: 701-857-3264
Kyla Rae Snyder, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 4324 Crocus Pt, Minot, ND 58701 Phone: 701-721-3018
Renee P Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Burdick Expy W, Minot, ND 58701 Phone: 701-857-5124 Fax: 701-857-3264
Terry Lynn Stock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Burdick Expy W, Minot, ND 58701 Phone: 701-857-5124 Fax: 701-857-3264
Tessa M Hartmann, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Burdick Expy W, Minot, ND 58701 Phone: 701-857-5124 Fax: 701-857-3264
Terri R Brown, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2305 37th Ave Sw, Minot, ND 58701 Phone: 701-857-5000

Nicole A Underdahl, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Minot, ND