Nicole Cherie Albaugh, APRN - PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Ada, MN
NPI 1548909229 · NPPES record last updated Dec 11, 2024
Key facts
- NPI
- 1548909229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 9938 (MN)
- Practice address
- 402 3Rd St E Ste 12
Ada, MN 56510-1404 - Phone
- (218) 394-2774
- Fax
- (218) 394-2780
- NPI assigned
- Jun 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ND, MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221015000192 | ND | Practitioner - Nurse Practitioner | 1254707227 | Reassigns benefits to 2 organizations |
| I20240424003812 | MN | Practitioner - Nurse Practitioner | 1254707227 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9938 | MN | MD | Speech-Language Pathologist |
| 192799 | MN | MD | Child & Family Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Single Specialty | Current |
Accepting new patients |
| Mental Health Specialty Group PA | Single Specialty | Current |
Accepting new patients |
| Tranquil Minds Psychiatry | Single Specialty | Current |
Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
402 3rd St E
Ste 12
Ada, MN 56510
Phone (218) 394-2774
2355 Highway 36 W
Ste 400
Saint Paul, MN 55113
Phone (612) 460-1597
3523 45th St S
Fargo, ND 58104
Phone (701) 747-9701
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist |
364SP0808X | 9938 | MN | |
| Adult Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0809X | R34710 | ND | |
| Child & Family Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0810X | 192799 | MN | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 9938 | MN | Yes |
Addresses
Primary practice location
402 3Rd St E Ste 12
Ada, MN 56510-1404
Mailing address
C/O Nicole Albaugh
3148 240TH Ave
Ada, MN 56510-9315
Phone (218) 394-2774
Other practice location 1
327 2nd St NW
Hillsboro, ND 58045-4124
Phone (218) 394-2774 ext. 100
Other practice location 2
C/O Nicole Albaugh
3148 240th Ave
Ada, MN 56510-9315
Phone (218) 394-2774 ext. 100
Other practice location 3
121 Washington Ave N
Minneapolis, MN 55401-2503
Phone (800) 465-3203
Other practice location 4
327 2nd St NW
Hillsboro, ND 58045-4124
Phone (218) 394-2274 ext. 100
Other providers in Ada, MN
- Ada Chiropractic Clinic, P.a.
- Ada-Borup-West Isd 2910
- Kari J Bergman
- Bridges Care Center
- Bridges Care Center
- Bridges Medical Center
- Bridges Medical Center
All providers in Ada, MN · Psychiatric/Mental Health Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2024. 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.