Nichole Virgo, APNP is a
Nurse Practitioner - Family physician based in Milwaukee, Wisconsin. Nichole Virgo is licensed to practice in Wisconsin (license number 3323) and her current practice location is 8901 N 76th St Fl 3, Milwaukee, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 357-1307.
NPI number for Nichole Virgo is 1457459869 and her current mailing address is 1225 W Pine Creek Ct, Oak Creek, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457459869.
Physician's Profile
| Full Name | Nichole Virgo |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 8901 N 76th St Fl 3, Milwaukee, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457459869
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 05/02/2018
Medical Identifiers
Medical identifiers for Nichole Virgo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457459869 | NPI | - | NPPES |
| K400388476 | Other | WI | MEDICARE |
| V620-6377-9730-09 | Other | WI | WI DRIVERS LICENSE # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 148802 (Wisconsin) | Secondary |
| 363L00000X | Nurse Practitioner | 3323-33 (Wisconsin) | Secondary |
| 367A00000X | Advanced Practice Midwife | 139386-30 (Wisconsin) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 3323 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nichole Virgo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nichole Virgo, APNP
1225 W Pine Creek Ct,
Oak Creek, WI 53154-1833
Ph: (414) 745-5158 | Nichole Virgo, APNP
8901 N 76th St Fl 3,
Milwaukee, WI 53223-1901
Ph: (414) 357-1307 |
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