Nicole J. Charles, PAC
NPI 1104008093ActiveIndividual· Physician Assistant, Medical· Waconia, MN
Physician Assistant, Medical (PAC) with Ridgeview Medical Center, practicing in Waconia, Minnesota. 178 Medicare patients in 2024, $23,763 paid; nearly all of their 192 Part D prescriptions were generic (94%). Lists Minnesota Valley Health Center Inc and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1104008093 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PAC |
| Sole proprietor | No |
| NPI issued | Dec 3, 2007 |
| Last updated in NPPES | Mar 23, 2021 |
| Certified by provider | Mar 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 1081 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 178 |
|---|---|
| Services billed | 345 across 15 procedure codes |
| Paid by Medicare | $23,763 |
Part D prescriptions in 2024
| Prescriptions (claims) | 192 · 209 30-day fills |
|---|---|
| Patients | 79 |
| Total drug cost | $8,142 |
| Generic share | 94% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Ridgeview Medical CenterRoseville, MN · 412 clinicians
Hospital affiliations
- Minnesota Valley Health Center IncLe Sueur, MN
- Ridgeview Medical CenterWaconia, MN
- Ridgeview Sibley Medical CenterArlington, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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