Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nicholas Chirico Jr.

Individual provider Diagnostic Radiology Physician · NPI 1053843326

Nicholas Chirico Jr. is a Diagnostic Radiology in Eden Prairie, Minnesota. Qualified in 2017, 9 years ago. Practices with Jackson Hole Medical Imaging PC, a 6-clinician group and accepts Medicare assignment. Licensed in Wyoming.

Years since qualifying
9
Licensed in
WY
In the registry since
2017
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Practice location Address checks out

11995 Singletree Ln Ste 500
Eden Prairie, MN 55344-5349
Phone: (952) 595-1301
Fax: (612) 294-4903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 15756A (WY)

Record details

NPI number1053843326
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 28, 2017
Last updated in NPPESJanuary 18, 2024
Certification dateJanuary 18, 2024
Mailing address11995 Singletree Ln Ste 500, Eden Prairie, MN 55344-5349

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Jackson Hole Medical Imaging Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eden Prairie