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

Nicole M Dishong, CNM

Individual provider Registered Nurse · NPI 1205272481

Nicole M Dishong, CNM is a Certified Nurse Midwife (CNM) in Edina, Minnesota. Qualified in 2012, 14 years ago. Practices with Premier OBGYN of Minnesota PLLC, a 89-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and New Mexico.

Years since qualifying
14
Licensed in
MN, NM
In the registry since
2013
Specialties on file
3
What do these letters mean?
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3625 W 65th St Ste 100
Edina, MN 55435-2147
Phone: (952) 920-7001
Fax: (952) 920-2245
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 305 E Nicollet Blvd Ste 393, Burnsville, MN 55337-8328 — (952) 435-9505

Specialties & licences

Advanced Practice Midwife (primary) Taxonomy 367A00000X · Licence 304 (MN)
Registered Nurse Taxonomy 163W00000X · Licence R44853 (NM)
Midwife Taxonomy 176B00000X · Licence CNM647 (NM)

Record details

NPI number1205272481
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNM
Sole proprietorNo
NPI enumeratedMay 15, 2013
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022

Medicare enrollment

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

Medicare specialtyCERTIFIED NURSE MIDWIFE (CNM)
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Premier Obgyn Of Minnesota Pllc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Edina