Nicole Cherie Albaugh, PMHNP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Ada, Minnesota. Her current practice location is
402 3rd St E Ste 12, Ada, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 394-2774.
Nicole Cherie Albaugh is licensed to practice in Minnesota (license number 9938) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548909229.
Provider's Profile
| Full Name | Nicole Cherie Albaugh |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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| Location | 402 3rd St E Ste 12, Ada, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1548909229
- Provider Enumeration Date: 06/01/2022
- Last Update Date: 01/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254707227
- Enrollment ID: I20221015000192
Medical Identifiers
Medical identifiers for Nicole Cherie Albaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548909229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 9938 (Minnesota) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 9938 (Minnesota) | Primary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | R34710 (North Dakota) | Secondary |
| 364SP0810X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Family | 192799 (Minnesota) | Secondary |
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 Cherie Albaugh allows following entities to bill medicare on her behalf.
| Entity Name | St. Sophie's Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336443654
PECOS PAC ID: 7113195074
Enrollment ID: O20110719000878 |
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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 Cherie Albaugh 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 |
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Nicole Cherie Albaugh, PMHNP
C/o Nicole Albaugh, 3148 240th Ave,
Ada, MN 56510-9315
Ph: (218) 394-2774 | Nicole Cherie Albaugh, PMHNP
402 3rd St E Ste 12,
Ada, MN 56510-1404
Ph: (218) 394-2774 |
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