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

Nicole K Beauvais, PA-C, MMS

Individual provider Physician Assistant · NPI 1063674109

Nicole K Beauvais, PA-C, MMS is a Physician Assistant in Stillwater, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

270 Main St N Ste 300
Stillwater, MN 55082-6788
Phone: (651) 342-1039
Fax: (651) 342-1428
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11223 (MN)

Record details

NPI number1063674109
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , MMS
Sole proprietorNo
NPI enumeratedJune 30, 2008
Last updated in NPPESMay 1, 2026
Certification dateMay 1, 2026

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