Nicole Theisen, CRNA
NPI 1164854188 · Certified Registered Nurse Anesthetist · Prior Lake, MN
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Theisen, CRNA is a Certified Registered Nurse Anesthetist provider in Prior Lake, MN (NPI 1164854188).
Provider details
- NPI number
- 1164854188
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- License
- R1718621 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2013-08-01
- Last updated
- 2018-01-29
Frequently asked questions
- What is Nicole Theisen's NPI number?
- Nicole Theisen's National Provider Identifier (NPI) is 1164854188, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Theisen's specialty?
- Nicole Theisen is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Nicole Theisen located?
- Nicole Theisen's practice location on file with NPPES is 3199 Timberwolf Cir Nw, Prior Lake, MN 55372-3271.
- What is Nicole Theisen's phone number?
- The practice phone number listed in the NPPES registry for Nicole Theisen is (612) 860-6602.
- Does Nicole Theisen accept Medicare?
- Nicole Theisen is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Theisen's NPI active?
- Yes — Nicole Theisen's NPI (1164854188) is active in the NPPES registry as of the last update on 2018-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.