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

Individual provider Physician Assistant · NPI 1780635003

Nicole Renee Prosser, PA-C is a Physician Assistant in Zimmerman, Minnesota. Qualified in 2000, 26 years ago. Practices with Fairview Clinics, a 806-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
26
Licensed in
MN
In the registry since
2006
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

25945 Gateway Dr
Zimmerman, MN 55398-5300 Not confirmed with CMS for 18 years — call before visiting
Phone: (763) 856-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 9576 (MN)

Record details

NPI number1780635003
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 12, 2006
Last updated in NPPESMay 19, 2008

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Fairview Clinics — 806 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations9 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients80
Services billed 584 a service is one billed item, such as a visit, a test or a procedure
Average patient age70

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Fairview Clinics

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 806 clinicians in the practice; 12 are shown here.

Other providers in Zimmerman