Nicole Landen, CRNA
Nurse Anesthetist, Certified Registered in Fargo, ND. Individual provider (NPI-1).
NPI number1902436033
StatusActive
Last updated in NPPESJan 16, 2020
Details
- NPI
- 1902436033
- Entity type
- Individual (NPI-1)
- Name
- Nicole Landen
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2020
- Certification date
- Jan 16, 2020
- Last updated
- Jan 16, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R40421 | ND | Yes |
Other names
- Nicole Schumacher (Former Name)
Practice location
5225 23rd Ave SFargo, ND 58104-7927
Phone 701-417-2000
Mailing address
3559 8th St EWest Fargo, ND 58078-5423
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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