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

Individual provider Physician Assistant · NPI 1467142372

Nicole Poganski, PA-C is a Physician Assistant in Lakeville, Minnesota. Qualified in 2022, 4 years ago. Practices with Allina Health System, a 3,867-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2023
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

17489 Dodd Blvd
Lakeville, MN 55044-6506
Phone: (952) 428-1020
Fax: (952) 428-1025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6905 York Ave S, Edina, MN 55435-2517 — (952) 920-0126

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14423 (MN)

Record details

NPI number1467142372
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 12, 2023
Last updated in NPPESApril 16, 2025
Certification dateApril 16, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Allina Health System — 3867 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Lakeville