NICOLE MARIE TAYLOR (NP) – Family Nurse Practitioner, NPI 1568285229

NICOLE MARIE TAYLOR (NP) is a healthcare provider. based in Frederic, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 12037 (MN). The NPI Number for NICOLE MARIE TAYLOR (NP) is 1568285229

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE MARIE TAYLOR (NP)
NPI
1568285229
Phone
(715) 222-8774
Address
PO BOX 454
Enumeration Date
1 November 2024
Last Update Date
1 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7154635353
Graduation Year
2024 (2 years ago)
PAC ID
8527594068
Group Practice PAC ID
2163314931
Professional Enrollment ID
I20241209000652
Address ID
WI548407827GR257XXAVEX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:1State licenses:2Digital endpointsOther names

6,035 NURSE PRACTITIONER in WI

Provider Addresses for NICOLE MARIE TAYLOR (NP)

  • PO BOX 454

    FREDERIC, WI 548370454

    Phone: (715) 222-8774

    Type: Mailing

  • 4404 WI-70

    WEBSTER, WI 54893

    Phone: (715) 349-8554

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-12-09

PECOS data refreshed: 2026-05-27

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
I20241209000652INurse PractitionerWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54837)

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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: 2163314931View full group profile
NameSpecialtyState
Nurse PractitionerOK
Nurse PractitionerWI
Certified Nurse Midwife (Cnm)WI
Nurse PractitionerMN
Hospitalist, Family PracticeSD
Nurse PractitionerWI
Family PracticeWI
General SurgeryWI
Orthopedic SurgeryWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for NICOLE MARIE TAYLOR (NP)?
NICOLE MARIE TAYLOR (NP) — NPI 1568285229 — is the standard way to identify this listing.
Can I rely on NICOLE MARIE TAYLOR (NP) being an active provider?
As of the registry snapshot, NICOLE MARIE TAYLOR (NP) is marked active.
What is NICOLE MARIE TAYLOR (NP)'s primary classification?
Family Nurse Practitioner is the headline specialty for NICOLE MARIE TAYLOR (NP) here. Clinical services aligned with this taxonomy classification.
Where should I expect NICOLE MARIE TAYLOR (NP) on a map?
Expect Frederic, Wisconsin as a primary anchor for NICOLE MARIE TAYLOR (NP) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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