Nicole Rae Mislivec, MSN, APRN, PMHNP-BC in Edina, MN

Nicole Rae Mislivec, MSN, APRN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Edina, Minnesota. Her current practice location is 4444 W 76th St Ste 400, Edina, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 275-9616.

Nicole Rae Mislivec is licensed to practice in Minnesota (license number 10811) 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 1245019231.

Contact Information

	Nicole Rae Mislivec, MSN, APRN, PMHNP-BC
	4444 W 76th St Ste 400, Edina, MN 55435-5178
	(612) 275-9616
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Rae Mislivec
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4444 W 76th St Ste 400, Edina, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245019231
Provider Enumeration Date: 09/27/2023
Last Update Date: 11/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8820434947
Enrollment ID: I20240312002173

Medical Identifiers

Medical identifiers for Nicole Rae Mislivec such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245019231	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	10811 (Minnesota)	Primary

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 Rae Mislivec allows following entities to bill medicare on her behalf.

Entity Name	Dr Sujit R Varma Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194098053 PECOS PAC ID: 1254585599 Enrollment ID: O20130213000613

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 Rae Mislivec 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 Rae Mislivec, MSN, APRN, PMHNP-BC 5375 Hyland Pl, Minneapolis, MN 55437-1927 Ph: (612) 275-9616	Nicole Rae Mislivec, MSN, APRN, PMHNP-BC 4444 W 76th St Ste 400, Edina, MN 55435-5178 Ph: (612) 275-9616

Reviews and Comments

Nurse Practitioner Nurses in Edina, MN

Vicki I Buth, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6545 France Ave S, Ste 540, Edina, MN 55435 Phone: 952-927-4045 Fax: 952-924-4133
Allison Dillon, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3400 W 66th St Ste 290, Edina, MN 55435 Phone: 952-914-1733
Sarah Marie Nolan-holicky, AGNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 W 66th St Ste 290, Edina, MN 55435 Phone: 952-836-3637
Stephen Swenson, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8100 W 78th St Ste 230, Edina, MN 55439 Phone: 952-946-9777
Lisa Kae Feese, RN CDE FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7701 York Ave S, Suite 180, Edina, MN 55435 Phone: 952-927-7810 Fax: 952-927-6309
Kelley F Grotting, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4010 W 65th St, Edina, MN 55435 Phone: 952-456-7000 Fax: 952-456-7001
Jennifer B Galang, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6405 France Ave S, Suite W200, Edina, MN 55435 Phone: 952-924-9005 Fax: 952-924-0330

Nicole Rae Mislivec, MSN, APRN, PMHNP-BC - Medicare Nurse Practitioner in Edina, MN