IndividualActive
Charles Nicolosi, M.D.
NPI 1063596831 · Specialist · Cannon Falls, MN
Charles Nicolosi, M.D. is a Specialist provider in Cannon Falls, MN (NPI 1063596831).
Provider details
- NPI number
- 1063596831
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20585 (MN)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
116 Mill St W.
Cannon Falls, MN 55009-2027
Phone: (608) 788-8103
Street-level locationGet directions
Mailing address
2031 32nd St S
La Crosse, WI 54601-7099
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2007-11-14
Frequently asked questions
- What is Charles Nicolosi's NPI number?
- Charles Nicolosi's National Provider Identifier (NPI) is 1063596831, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Charles Nicolosi's specialty?
- Charles Nicolosi is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Charles Nicolosi located?
- Charles Nicolosi's practice location on file with NPPES is 116 Mill St W., Cannon Falls, MN 55009-2027.
- What is Charles Nicolosi's phone number?
- The practice phone number listed in the NPPES registry for Charles Nicolosi is (608) 788-8103.
- Is Charles Nicolosi's NPI active?
- Yes — Charles Nicolosi's NPI (1063596831) is active in the NPPES registry as of the last update on 2007-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.