Nicole Theisen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Prior Lake, Minnesota. Her current practice location is
3199 Timberwolf Cir Nw, Prior Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 860-6602.
Nicole Theisen is licensed to practice in Minnesota (license number R1718621) 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 1164854188.
Provider's Profile
Full Name | Nicole Theisen |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 3199 Timberwolf Cir Nw, Prior Lake, Minnesota |
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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 Theisen attended and graduated from in
NPI Data:
- NPI Number: 1164854188
- Provider Enumeration Date: 08/01/2013
- Last Update Date: 01/29/2018
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Nicole Theisen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164854188 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | R1718621 (Minnesota) | Primary |
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 Theisen 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 Theisen, CRNA 3199 Timberwolf Cir Nw, Prior Lake, MN 55372-3271 Ph: (612) 860-6602 | Nicole Theisen, CRNA 3199 Timberwolf Cir Nw, Prior Lake, MN 55372-3271 Ph: (612) 860-6602 |
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