Nichole Christine Dutter, APNP in Kiel, WI - Medicare Nurse Practitioner

Nichole Christine Dutter, APNP is a medicare enrolled "Nurse Practitioner - Family" in Kiel, Wisconsin. Her current practice location is 502 Hwy 67, Kiel, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 496-4700.

Nichole Christine Dutter is licensed to practice in Wisconsin (license number 13138-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871216051.

Contact Information

	Nichole Christine Dutter, APNP
	502 Hwy 67, Kiel, WI 53042-1650
	(920) 496-4700
	Not Available

Map and Direction

Provider's Profile

Full Name	Nichole Christine Dutter
Gender	Female
Speciality	Nurse Practitioner - Family
Location	502 Hwy 67, Kiel, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871216051
Provider Enumeration Date: 09/22/2022
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 3971979485
Enrollment ID: I20221024002043

Medical Identifiers

Medical identifiers for Nichole Christine Dutter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871216051	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	13138-33 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nichole Christine Dutter allows following entities to bill medicare on her behalf.

Entity Name	Prevea Clinic Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306869276 PECOS PAC ID: 0042123150 Enrollment ID: O20031106000034

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 Christine Dutter 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
Nichole Christine Dutter, APNP 630 Lake Dr, Random Lake, WI 53075-1766 Ph: (920) 912-3742	Nichole Christine Dutter, APNP 502 Hwy 67, Kiel, WI 53042-1650 Ph: (920) 496-4700

Reviews and Comments

Nurse Practitioner Nurses in Kiel, WI

Mary Reszczynski, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 632 Fremont St, Kiel, WI 53042 Phone: 920-894-3222
Ashley Bizzell, APNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 Service Rd, Kiel, WI 53042 Phone: 920-894-2636
Kristen D Holzwart, MSN, APNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 Service Rd, Kiel, WI 53042 Phone: 920-894-2636
Jordan Elizabeth Loose, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1160 Service Rd, Kiel, WI 53042 Phone: 920-894-3322
Mary Stephanie Wright, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 502 Highway 67, Kiel, WI 53042 Phone: 920-894-5661 Fax: 920-894-1120
Courtney A Hansen, APNP FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Persnickety Pl, Kiel, WI 53042 Phone: 888-893-6141 Fax: 920-797-4157

Nichole Christine Dutter, APNP - Medicare Nurse Practitioner in Kiel, WI