Danika Jo Nichols (NPI# 1255824124, PAC ID# 8729339742) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1255824124 |
| PAC ID by PECOS | 8729339742 |
| Professional Enrollment ID | I20181001001612 |
| Full Name | Danika Jo Nichols |
| Organization Legal Name | DEER RIVER HEALTHCARE CENTER INC |
| Address |
9 Birch St Ne Remer MN 56672-4469 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1850388448 |
| Number of Group Practice Members | 19 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 241360 | DEER RIVER HEALTHCARE CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1542 Golf Course Rd, Suite 204, Grand Rapids, MN 55744-3537 | 2189997000 | THE DULUTH CLINIC LTD |
| 9 Birch St Ne, Remer, MN 56672-4469 | DEER RIVER HEALTHCARE CENTER INC |
| Organization Legal Name | DEER RIVER HEALTHCARE CENTER INC |
| Physicians | 19 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meg E. Demuri | Physician Assistant | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Thomas E Howard Ii | Emergency Medicine | Deer River Healthcare Center Inc | 115 10th Ave Ne, Suite A, Deer River, MN 56636-8795 |
| Paula M Hedin | Family Medicine | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Natalie J Gustafson | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Lori A Sutherland | Certified Registered Nurse Anesthetist (crna) | Deer River Healthcare Center Inc | 115 10th Ave Ne, Deer River, MN 56636-8795 |
| Thomas J Witt | Family Medicine | Deer River Healthcare Center Inc | 1542 Golf Course Rd, Suite 202, Grand Rapids, MN 55744-3557 |
| Janna Lynn Block | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Tasha Lea Waage | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Leland Stillman | Hospitalist | Deer River Healthcare Center Inc | 115 10th Ave Ne, Suite A, Deer River, MN 56636-8795 |
| Elizabeth R Kohn | Family Medicine | Deer River Healthcare Center Inc | 1542 Golf Course Rd, Suite 203, Grand Rapids, MN 55744-3557 |
| Street Address |
9 BIRCH ST NE |
| City | REMER |
| State | MN |
| Zip | 56672-4469 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meg E. Demuri | Physician Assistant | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Paula M Hedin | Family Medicine | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Natalie J Gustafson | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Janna Lynn Block | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Tasha Lea Waage | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Kjerstin G Durie | Physician Assistant | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Byron David Kion Hoffman | Family Medicine | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Shana K Kongsjord | Nurse Practitioner | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Kelsey Leigh Redland-kladivo | Family Medicine | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Jared E Lund | Family Medicine | Deer River Healthcare Center Inc | 9 Birch St Ne, Remer, MN 56672-4469 |
| Find all physicians in the same address | |||
| City | REMER |
| Zip Code | 56672 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | REMER + NURSE PRACTITIONER |
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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.