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Nicole Marie Stepan

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1015 E 1st St Bldg A4th, Duluth, MN 55805-2242

PECOS Enrollment

This provider is enrolled in PECOS as NICOLE GRUTKOSKI.

Based on the most recent information from CMS, provider Nicole Marie Stepan is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1972131282
Provider Type
Individual
Full Name
Stepan, Nicole Marie
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
3/31/2020
Last Updated
7/17/2025

Contact Information

Practice Location

1015 E 1st St Bldg A4th, Duluth, MN 55805-2242

(218) 249-7940

Unlisted Fax

Mailing Location

1015 E 1st St Bldg A4th, Duluth, MN 55805-2242

(218) 249-7940

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5530 Wisconsin

Nicole Marie Stepan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Messenger, Larissa Pirie

Ross, Conrad Joseph

Sharland, Maren Kay

Hermes, Pamela J

Nyberg, Faith Marie

Anderson, Molly Ann