Nicole Marie Kiesow, PA-C
NPI 1356502769ActiveIndividual· Physician Assistant· Fosston, MN
Physician Assistant (PA-C) with Altru Health System and 2 other groups, practicing in Fosston, Minnesota. Part D covered 7,333 prescriptions written in 2024, 86% of them generic. Lists Altru Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1356502769 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 18, 2008 |
| Last updated in NPPES | Apr 24, 2026 |
| Certified by provider | Apr 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
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) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 7,333 · 14,690 30-day fills |
|---|---|
| Patients | 469 |
| Total drug cost | $539,923 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Altru Health SystemGrand Forks, ND · 684 clinicians
- Lifecare Medical CenterRoseau, MN · 58 clinicians
- Headwaters Health PCFosston, MN · 10 clinicians
Hospital affiliations
- Altru HospitalGrand Forks, ND
- Essentia Health FosstonFosston, MN
- Lifecare Medical CenterRoseau, MN
- Sanford Thief River Falls Medical CenterThief River Falls, 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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