Nicole Kristine-Baur Bakken, NP

Key facts

NPI: 1134487176
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: R186893-7 (MN)
Practice address: 3500 Tower Ave
Essentia Health St. Mary'S Superior Clinic
Superior, WI 54880-5335
Phone: (715) 395-5454
NPI assigned: Apr 27, 2012
Sex: Female
Sole proprietor: No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Matrix Medical Plus Nurse Practitioner · Nashville, TN · NPI 1376973461

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file
Eligible to order & refer: Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Nurse Practitioner

State licenses

License	State	Type	Specialty
4961	WI	MD	General Practice Dentistry
R186893-7	MN	MD	Family Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Matrix Medical Plus		Current since May 1, 2024	Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

121 Washington Ave N
Fl 4
Minneapolis, MN 55401
Phone (404) 992-2702

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	R186893-7	MN	Yes

Addresses

Primary practice location

3500 Tower Ave
Essentia Health St. Mary'S Superior Clinic
Superior, WI 54880-5335

Mailing address

3500 Tower Ave
Essentia Health St. Mary'S Superior Clinic
Superior, WI 54880-5335
Phone (715) 395-5454

Other names

Nicole Kristine Baur Former name

Other providers in Superior, WI

Charity L Anstett-Kaspari, MSW, LGSW INTERN
Hannah Anyiwe
Audiology Concepts, LLC
Brenda Christine Baker
Cathy Marie Baker, RN
Charleen Ruth Balcer Rowekamp
Mary Balcer, MA, CCC/SLP
John Andrew Ball, LICSW
Carina Lisa Barker
Darrell Eugene Barnack, LICSW

All providers in Superior, WI · Family Nurse Practitioner in Wisconsin

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2012. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.