NICOLE M DISHONG (CNM) – Advanced Practice Midwife, NPI 1205272481
Advanced Practice Midwife
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
251 CERTIFIED NURSE MIDWIFE (CNM) in MN
Provider Addresses for NICOLE M DISHONG (CNM)
305 E Nicollet Blvd Ste 393
Burnsville, MN 553378328
Phone: (952) 435-9505
Fax: (952) 435-6205
Type: Location
4705 MONTGOMERY BLVD NE
SUITE 301
ALBUQUERQUE, NM 871091226
Phone: (505) 727-4500
Fax: (505) 727-4505
Type: Mailing
3625 W 65TH ST STE 100
EDINA, MN 554352147
Phone: (952) 920-7001
Fax: (952) 920-2245
Type: Location
10900 WAYZATA BLVD STE 640
MINNETONKA, MN 553055602
Phone: (561) 208-5734
Fax: (561) 208-5734
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $15.
Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.
Last reported payment date: 2024-06-17 • Largest payer in this snapshot: CooperSurgical, Inc. ($15).
Total Amount
$15
General + Research + Ownership
Payments
1
Total payment records
General Amount
$15
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CooperSurgical, Inc. | $15 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-08-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160816001826 | I | Certified Nurse Midwife (Cnm) | MN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55337)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| - | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Physician Assistant | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN | |
| Family Practice | NY | |
| Registered Dietitian Or Nutrition Professional | MN | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MN |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.