Ms Nicole Anissa Kujawa, PA in Oconomowoc, WI - Medicare Physician Assistant

Ms Nicole Anissa Kujawa, PA is a medicare enrolled "Physician Assistant" in Oconomowoc, Wisconsin. She graduated from nursing school in 1997 and has 28 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Forefront Dermatology Sc and her current practice location is 1320 Pabst Farms Cir Unit 180, Oconomowoc, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 560-0322.

Ms Nicole Anissa Kujawa is licensed to practice in Wisconsin (license number 1015-23) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174628341.

Contact Information

	Ms Nicole Anissa Kujawa, PA
	1320 Pabst Farms Cir Unit 180, Oconomowoc, WI 53066-4878
	(262) 560-0322
	(262) 560-0379

Map and Direction

Provider's Profile

Full Name	Ms Nicole Anissa Kujawa
Gender	Female
Speciality	Physician Assistant
Experience	28 Years
Location	1320 Pabst Farms Cir Unit 180, Oconomowoc, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Nicole Anissa Kujawa graduated from nursing school in 1997

NPI Data:

NPI Number: 1174628341
Provider Enumeration Date: 09/13/2006
Last Update Date: 11/21/2025

Medicare PECOS Information:

PECOS PAC ID: 6305029992
Enrollment ID: I20110318000599

Medical Identifiers

Medical identifiers for Ms Nicole Anissa Kujawa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1174628341	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1015-23 (Wisconsin)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Forefront Dermatology Sc	3779471701	568

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. Ms Nicole Anissa Kujawa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Nicole Anissa Kujawa, PA 801 York St, Manitowoc, WI 54220-4630 Ph: (920) 663-9008	Ms Nicole Anissa Kujawa, PA 1320 Pabst Farms Cir Unit 180, Oconomowoc, WI 53066-4878 Ph: (262) 560-0322

Reviews and Comments

Physician Assistant Nurses in Oconomowoc, WI

Thomas Ruffalo, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 791 Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-9119
Karen Maurer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1185 Corporate Center Dr Ste 300, Oconomowoc, WI 53066 Phone: 888-938-3838 Fax: 888-919-1083
Tamara Grissman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1284 N Summit Ave, Oconomowoc, WI 53066 Phone: 262-560-3700 Fax: 262-560-3759
Catherine D Keulks-torinus, P.A.C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 791 E Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-0251 Fax: 262-569-0342
Rick Woodward, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 34700 Valley Rd, Oconomowoc, WI 53066 Phone: 800-767-4411
Amber C Mayo, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 791 E Summit Ave, Oconomowoc, WI 53066 Phone: 262-569-0251 Fax: 262-569-0342

Ms Nicole Anissa Kujawa, PA - Medicare Physician Assistant in Oconomowoc, WI