NICOLE LEE LANKEY (PA) – Medical Physician Assistant, NPI 1528644036

NICOLE LEE LANKEY (PA) is a healthcare provider. based in Fort atkinson, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5802-23 (WI). The NPI Number for NICOLE LEE LANKEY (PA) is 1528644036

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE LEE LANKEY (PA)
NPI
1528644036
Phone
(920) 563-6667
Address
611 SHERMAN AVE E
Enumeration Date
23 March 2021
Last Update Date
19 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9205686596
Graduation Year
2022 (4 years ago)
PAC ID
1355723487
Group Practice PAC ID
0840189718
Professional Enrollment ID
I20220804003960
Address ID
WI535381960FO611XXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

3,703 PHYSICIAN ASSISTANT in WI

Provider Addresses for NICOLE LEE LANKEY (PA)

  • 611 SHERMAN AVE E

    FORT ATKINSON, WI 535381960

    Phone: (920) 563-6667

    Type: Location

  • 512 WILCOX ST

    FORT ATKINSON, WI 535381254

    Phone: (920) 563-6667

    Type: Location

  • PO BOX 249

    FORT ATKINSON, WI 535380249

    Phone: (920) 563-4466

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2023-05-23 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($32).

Total Amount

$66

General + Research + Ownership

Payments

4

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-23

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-08-04

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220804003960IPhysician AssistantWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes193132$0
69210Removal of impacted ear wax12897$0
99214Established patient office or other outpatient visit, 30-39 minutes7862$0
99203New patient office or other outpatient visit, 30-44 minutes6363$0
99212Established patient office or other outpatient visit, 10-19 minutes3128$0
View full utilization report →

Insurance plans in this area (ZIP 53538)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840189718View full group profile
NameSpecialtyState
Hospitalist, Internal MedicineMI
General SurgeryIL
-WI
General SurgeryWI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
Diagnostic RadiologyWI
-WI
-WI
O B S T E T R I C S/ G Y N E C O L O G YWI

Reviews

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Frequently asked questions

What is the standard ID for NICOLE LEE LANKEY (PA) in the U.S.?
In the U.S., NICOLE LEE LANKEY (PA) is identified by NPI 1528644036.
Quick check: is NICOLE LEE LANKEY (PA) active?
Public NPPES data shows NICOLE LEE LANKEY (PA) with an active NPI status right now.
What type of care does NICOLE LEE LANKEY (PA) provide?
NICOLE LEE LANKEY (PA)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Is NICOLE LEE LANKEY (PA) tied to Fort Atkinson, Wisconsin?
If you are local to Fort Atkinson, Wisconsin, NICOLE LEE LANKEY (PA) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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