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

Nicole Elizabeth Kowalkowski

Individual provider Family Nurse Practitioner · NPI 1639053531

Nicole Elizabeth Kowalkowski is a Nurse Practitioner in Maple Grove, Minnesota. Qualified in 2024, 2 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
2
Licensed in
MN
In the registry since
2025
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Practice location Address checks out

11297 Kingsview Ln N
Maple Grove, MN 55369-7746
Phone: (763) 226-8133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11850 Blackfoot St Nw Ste 300, Coon Rapids, MN 55433-2772 — (763) 236-0808

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12823 (MN)

Record details

NPI number1639053531
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 4, 2025
Last updated in NPPESMarch 26, 2026
Certification dateMarch 26, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Maple Grove