Nicole Renee Prosser, PA-C
NPI 1780635003ActiveIndividual· Physician Assistant· Zimmerman, MN
Physician Assistant (PA-C) with Fairview Clinics, practicing in Zimmerman, Minnesota. Their prescriptions cost Medicare Part D more than their services did: $213,789 for 3,128 claims, against $20,199 paid for services in 2024. Lists Fairview Northland Regional Hospital as a hospital affiliation.
Overview
| NPI | 1780635003 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | May 12, 2006 |
| Last updated in NPPES | May 19, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 9576 | 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 | 80 |
|---|---|
| Services billed | 584 across 72 procedure codes |
| Paid by Medicare | $20,199 |
Part D prescriptions in 2024
| Prescriptions (claims) | 3,128 · 7,288 30-day fills |
|---|---|
| Patients | 244 |
| Total drug cost | $213,789 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- Fairview ClinicsEagan, MN · 782 clinicians
Hospital affiliation
- Fairview Northland Regional HospitalPrinceton, MN
Other facilities
- Accentcare Fairview Home Health - West, LLCHome health agency · Saint Paul, MN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other physician assistants in Zimmerman
- 1295514644
- 1053363481