NICOLE RAE BANICK (PA-C) – Physician Assistant, NPI 1184085219

NICOLE RAE BANICK (PA-C) is a healthcare provider. based in Minneapolis, Minnesota. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 2455 (MN). The NPI Number for NICOLE RAE BANICK (PA-C) is 1184085219

Main info

Female
Name
NICOLE RAE BANICK (PA-C)
NPI
1184085219
Phone
(612) 813-6000
Address
2525 CHICAGO AVE
Enumeration Date
17 March 2016
Last Update Date
17 March 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

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Provider Addresses for NICOLE RAE BANICK (PA-C)

  • Chicago Av, Washington Avenue South, Minneapolis, Hennepin County, Minnesota, 55415:55454, United States

    MINNEAPOLIS, MN 554044518

    Phone: (612) 813-6000

    Type: Location

  • 7620 BOWMAN CT

    INVER GROVE HEIGHTS, MN 550762907

    Phone: (651) 492-8144

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 55404)

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Frequently asked questions

What is NICOLE RAE BANICK (PA-C)'s NPI number?
NICOLE RAE BANICK (PA-C)'s NPI is 1184085219 — the number used across U.S. healthcare to identify this provider.
Is there an active status for NICOLE RAE BANICK (PA-C)?
For scheduling context, NICOLE RAE BANICK (PA-C) is shown as active in the registry.
What kind of doctor is NICOLE RAE BANICK (PA-C)?
NICOLE RAE BANICK (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is NICOLE RAE BANICK (PA-C) associated with Minneapolis?
Public fields place NICOLE RAE BANICK (PA-C) around Minneapolis, Minnesota. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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