Emily M Nicholson (NPI# 1336584218, PAC ID# 1658505904) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
Nation Provider ID (NPI) | 1336584218 |
PAC ID by PECOS | 1658505904 |
Professional Enrollment ID | I20130930000130 |
Full Name | Emily M Nicholson |
Organization Legal Name | ESSENTIA HEALTH VIRGINIA LLC |
Address |
2501 Keenan Dr International Falls MN 56649-2181 |
Phone Number | 2182839431 |
Gender | F |
Graduation Year | 2013 |
Primary Specialty | PHYSICIAN ASSISTANT |
Group Practice PAC ID | 7810149002 |
Number of Group Practice Members | 55 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
240084 | ESSENTIA HEALTH VIRGINIA |
241322 | RAINY LAKE MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
2501 Keenan Dr, International Falls, MN 56649-2181 | 2182839431 | ESSENTIA HEALTH VIRGINIA LLC |
Organization Legal Name | ESSENTIA HEALTH VIRGINIA LLC |
Physicians | 26 |
Name | Specialty | Organization | Address |
---|---|---|---|
Danyelle R Fenner | Family Medicine | Essentia Health Virginia LLC | 300 W Conan St, Ely, MN 55731-1145 |
Darci Leigh Pelland | Nurse Practitioner | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Joseph Anthony Bianco | Family Medicine | Essentia Health Virginia LLC | 71 S Dr, Babbitt, MN 55706-1232 |
Kathi M Henrickson | Nurse Practitioner | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Jeri Leah Vergeldt | Family Medicine | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Jeffrey T Hardwig | Psychiatry | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Jennifer L Hansen | Nurse Practitioner | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Brian Jason Junnila | Emergency Medicine | Essentia Health Virginia LLC | 901 9th St N, Virginia, MN 55792-2325 |
Anthony Christian Stone | Family Medicine | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Elizabeth Emily Lessard | Nurse Practitioner | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Street Address |
2501 KEENAN DR |
City | INTERNATIONAL FALLS |
State | MN |
Zip | 56649-2181 |
Name | Specialty | Organization | Address |
---|---|---|---|
Darci Leigh Pelland | Nurse Practitioner | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Kathi M Henrickson | Nurse Practitioner | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Jeri Leah Vergeldt | Family Medicine | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Jeffrey T Hardwig | Psychiatry | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Jennifer L Hansen | Nurse Practitioner | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Anthony Christian Stone | Family Medicine | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Elizabeth Emily Lessard | Nurse Practitioner | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Shailynn Nicole Shipley | Nurse Practitioner | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Jacelyn P Davidson | Family Medicine | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Samantha Ann Crossley | Family Medicine | Essentia Health Virginia LLC | 2501 Keenan Dr, International Falls, MN 56649-2181 |
Find all physicians in the same address |
Name | Specialty | Organization | Address |
---|---|---|---|
Gary L Potter | Chiropractic | Falls Advanced Chiropractic Center | 1322 3rd St, Suite 4, International Falls, MN 56649-2129 |
Alyssa L Clarity | Chiropractic | Falls Advanced Chiropractic Center | 1322 3rd St, Suite 4, International Falls, MN 56649-2129 |
Bradley J Reiners | Physician Assistant | International Falls Memorial Hospital Association | 1400 Hwy 71, International Falls, MN 56649-2154 |
Amber M Biondich | Nurse Practitioner | International Falls Memorial Hospital Association | 1400 Hwy 71, International Falls, MN 56649-2154 |
Joshua A Malik | General Practice | International Falls Memorial Hospital Association | 1400 Hwy 71, International Falls, MN 56649-2154 |
Nancy L Burmeister | Nurse Practitioner | International Falls Memorial Hospital Association | 1400 Hwy 71, International Falls, MN 56649-2154 |
Julie Lynn Dolphin | Nurse Practitioner | International Falls Memorial Hospital Association | 1400 Hwy 71, International Falls, MN 56649-2154 |
Celene R Cannon-tinder | Nurse Practitioner | International Falls Memorial Hospital Association | 1400 Hwy 71, International Falls, MN 56649-2154 |
Nicole M Busch | Nurse Practitioner | International Falls Memorial Hospital Association | 1400 Hwy 71, International Falls, MN 56649-2154 |
Kimberly A Versteeg | Obstetrics/gynecology | International Falls Memorial Hospital Association | 1400 Hwy 71, International Falls, MN 56649-2154 |
Find all physicians in zip 56649 |
City | INTERNATIONAL FALLS |
Zip Code | 56649 |
Specialty | PHYSICIAN ASSISTANT |
City + Specialty | INTERNATIONAL FALLS + PHYSICIAN ASSISTANT |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.