NICOLE MARIE HARVEY (PA-C) – Physician Assistant, NPI 1730520008
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,032 PHYSICIAN ASSISTANT in MN
Provider Addresses for NICOLE MARIE HARVEY (PA-C)
4786 BANNING AVE
WHITE BEAR LAKE, MN 551103264
Phone: (651) 426-6402
Fax: (651) 429-3402
Type: Location
2025 SLOAN PL STE 35
SAINT PAUL, MN 551172092
Phone: (651) 772-1572
Fax: (651) 772-1889
Type: Mailing
14688 EVERTON AVE N
HUGO, MN 550386071
Phone: (651) 788-4444
Fax: (651) 429-3402
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $13.
Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.
Last reported payment date: 2023-10-24 • Largest payer in this snapshot: 180 Medical, Inc. ($13).
Total Amount
$13
General + Research + Ownership
Payments
1
Total payment records
General Amount
$13
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-24
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| 180 Medical, Inc. | $13 |
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: 2013-09-24
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 |
|---|---|---|---|---|
| I20130924000969 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 124 | 84 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 100 | 64 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 88 | 62 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 43 | 43 | $0 |
| 83036 | Hemoglobin a1c level | 22 | 15 | $0 |
Insurance plans in this area (ZIP 55110)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Physician Assistant | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| - | MN | |
| - | MN | |
| Family Practice | MN | |
| Family Practice | MN | |
| Nurse Practitioner | MN | |
| - | MN |
Reviews
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