Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicholas Vincent Diflavio, PA-C

Individual provider Physician Assistant · NPI 1831933589

Nicholas Vincent Diflavio, PA-C is a Physician Assistant in Saint Croix Falls, Wisconsin. Qualified in 2024, 2 years ago. Practices with St Croix Regional Medical Center, a 132-clinician group and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
2
Licensed in
MN, WI
In the registry since
2024
Specialties on file
4
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

235 E State St
Saint Croix Falls, WI 54024-4117
Phone: (715) 483-3261
Fax: (678) 325-0317
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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 7992 (WI)
Physician Assistant Taxonomy 363A00000X · Licence 14937 (MN)
Physician Assistant Taxonomy 363A00000X · Licence 7992-23 (WI)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 14937 (MN)

Record details

NPI number1831933589
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJune 19, 2024
Last updated in NPPESApril 3, 2025
Certification dateApril 3, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice St. Croix Regional Medical Center — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Saint Croix Falls