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

Individual provider Certified Registered Nurse Anesthetist · NPI 1073689295

Nicolle Marie Nicklas, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Duluth, Minnesota. Qualified in 2005, 21 years ago. Practices with Anesthesiology, PA, a 140-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
21
Licensed in
MN
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

219 Garden St
Duluth, MN 55812
Phone: (763) 439-7831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R130252-9 (MN)

Record details

NPI number1073689295
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNA
Sole proprietorNo
NPI enumeratedNovember 28, 2006
Last updated in NPPESAugust 17, 2009

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Anesthesiology, P.A. — 140 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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