Nicole M Dishong, CNM - Medicare Certified Nurse Midwife (cnm) in Edina, MN

Nicole M Dishong, CNM is a medicare enrolled "Advanced Practice Midwife" in Edina, Minnesota. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Premier Obgyn Of Minnesota Pllc and her current practice location is 3625 W 65th St Ste 100, Edina, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 920-7001.

Nicole M Dishong is licensed to practice in Minnesota (license number 304) 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 1205272481.

Contact Information

Nicole M Dishong, CNM
3625 W 65th St Ste 100,
Edina, MN 55435-2147
(952) 920-7001
(952) 920-2245



Provider's Profile

Full NameNicole M Dishong
GenderFemale
SpecialityCertified Nurse Midwife (cnm)
Experience12 Years
Location3625 W 65th St Ste 100, Edina, Minnesota
Accepts Medicare AssignmentsYes. 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 M Dishong graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1205272481
  • Provider Enumeration Date: 05/15/2013
  • Last Update Date: 11/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8527208107
  • Enrollment ID: I20160816001826

Medical Identifiers

Medical identifiers for Nicole M Dishong such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205272481NPI-NPPES
H400317380OtherMNMEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R44853 (New Mexico)Secondary
176B00000XMidwife CNM647 (New Mexico)Secondary
367A00000XAdvanced Practice Midwife 304 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Obgyn Of Minnesota Pllc135539611070

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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 M Dishong allows following entities to bill medicare on her behalf.
Entity NamePremier Obgyn Of Minnesota Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801946223
PECOS PAC ID: 1355396110
Enrollment ID: O20050315000729

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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 M Dishong 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 AddressPractice Location Address
Nicole M Dishong, CNM
10900 Wayzata Blvd Ste 640,
Minnetonka, MN 55305-5602

Ph: (561) 208-5734
Nicole M Dishong, CNM
3625 W 65th St Ste 100,
Edina, MN 55435-2147

Ph: (952) 920-7001

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Advanced Practice Midwife Nurses in Edina, MN

Taylor Lachapelle,
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 6525 France Ave S Ste 100, Edina, MN 55435
Phone: 952-285-6140    
Elizabeth Anne Doro, CNM
Advanced Practice Midwife
Medicare: Not Enrolled in Medicare
Practice Location: 3625 W 65th St Ste 100, Edina, MN 55435
Phone: 952-920-7001    
Mrs. Mary Jo Johnson, CNM, CNP
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 3625 W 65th St Ste 100, Edina, MN 55435
Phone: 952-920-7001    
Dr. Laura Rose Baartman Volk, DNP, APRN, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 6565 France Ave S Ste 400a, Edina, MN 55435
Phone: 952-225-1630    Fax: 952-225-1609
Katelyn Renee Sola, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 3625 W 65th St Ste 100, Edina, MN 55435
Phone: 952-920-7001    
Dr. Anna Marie Revolinski, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 6545 France Ave S Ste 100, Edina, MN 55435
Phone: 612-716-3732    
Jessica Torres, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 6525 France Ave S, Suite 100, Edina, MN 55435
Phone: 952-285-6140    Fax: 952-924-4026

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