Nicolle Marie Nicklas is a Duluth, Minnesota based nurse anesthetist with 20 years of experience as Anesthesia Administration. She completed she graduation in 2005. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Nicolle Marie Nicklas is R130252-9 for Anesthesia Administration in Minnesota. Her current practice location is 219 Garden St., Duluth. Patients can reach her at 763-439-7831. Nicolle Marie Nicklas is CRNA with specialization in Anesthesia Administration and she NPI number (Unique professional ID assigned by NPPES) is 1073689295.
Nicolle Marie Nicklas is a certified registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists.
Complete Profile:
Nicolle Marie Nicklas speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Specialization: | Anesthesia Administration |
| Credentials: | CRNA |
| Experience: | 20+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2005 |
| Gender: | Female |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 219 Garden St., Duluth,
Minnesota, 55812 |
| Phone: | 763-439-7831 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3577571470 |
| Enrollment ID: | I20060404000635 |
| NPI Number: | 1073689295 |
| NPI Enumeration Date: | 28 Nov, 2006 |
| NPI Last Update On: | 17 Aug, 2009 |
Medical Licenses:
Nurses can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Nicolle Marie Nicklas are as mentioned below.
| License Number | Specialization | State | Status | |
| R130252-9 | Anesthesia Administration | Minnesota | Primary | |
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| North Memorial Health (240001) | Robbinsdale, MN | Acute Care Hospital |
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Nicolle Marie Nicklas has association with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Anesthesiology, P.a. (9335033034) | 108 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Nicolle Marie Nicklas such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 200613280A | Medicaid | Kansas | |
| 368410500 | Medicaid | Minnesota | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 15642 Cobblestone Lake Pkwy,
Apple Valley, Minnesota |
| Zip: | 55124-7829 |
| Phone Number: | 763-439-7831 |
| Fax Number: | -- |
Patients can reach Nicolle Marie Nicklas at
219 Garden St., Duluth, Minnesota or can
call to book an appointment on 763-439-7831.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.