Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicole Elizabeth Fogt, PA-C

Individual provider Physician Assistant · NPI 1770909749

Mrs. Nicole Elizabeth Fogt, PA-C is a Physician Assistant in Saint Cloud, Minnesota. Qualified in 2013, 13 years ago. Practices with Centracare Clinic, a 782-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
13
Licensed in
MN
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1200 6th Ave N Centracare Clinic
Saint Cloud, MN 56303-2735
Phone: (320) 656-7020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 11514 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 11514 (MN)

Record details

NPI number1770909749
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 13, 2014
Last updated in NPPESApril 1, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

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