Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Nicole J Charles, PAC

Medical Physician Assistant in Waconia, MN · enumerated 2007.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104008093

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Registry record

Entity type Individual (Type 1)

Name Nicole J Charles

Credential PAC

Sex Female

Practice address 500 S Maple St, Waconia, MN, 55387

Phone (952) 442-2191

Fax (952) 974-3201

Enumeration date Dec 3, 2007

Last updated in NPPES Mar 23, 2021

Taxonomy & licenses

363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 1081 (MN) Primary

Other identifiers

Identifier	Type	State	Issuer
1081	Other	MN	MN REGISTRATION

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Nicole Charles practice?

The practice location on file with NPPES is in Waconia, MN. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Nicole Charles?

The National Provider Identifier (NPI) for Nicole Charles is 1104008093, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-23.