CAROLINE CIBULKA (PA-C) – Physician Assistant, NPI 1740153444

CAROLINE CIBULKA (PA-C) is a healthcare provider. based in Cedarburg, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for CAROLINE CIBULKA (PA-C) is 1740153444

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
CAROLINE CIBULKA (PA-C)
NPI
1740153444
Phone
(262) 685-8571
Address
7545 DEVONSHIRE DR
Enumeration Date
29 September 2025
Last Update Date
29 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2625472123
Graduation Year
2025 (1 year ago)
PAC ID
1153815543
Group Practice PAC ID
0042595175
Professional Enrollment ID
I20251212001915
Address ID
WI531863876WA1451XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

3,678 PHYSICIAN ASSISTANT in WI

Provider Addresses for CAROLINE CIBULKA (PA-C)

  • 7545 DEVONSHIRE DR

    CEDARBURG, WI 530129709

    Phone: (262) 685-8571

    Mailing address matches the actual address.

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: 2025-12-12

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
I20251212001915IPhysician 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.

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

Insurance plans in this area (ZIP 53012)

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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: 0042595175View full group profile
NameSpecialtyState
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Nephrology, Internal MedicineWI
Internal MedicineWI
Nurse PractitionerWI
Internal MedicineWI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

What number should I use to identify CAROLINE CIBULKA (PA-C) for billing?
Administrative and clinical systems typically use NPI 1740153444 for CAROLINE CIBULKA (PA-C).
Is CAROLINE CIBULKA (PA-C)'s NPI status active today?
Active status means CAROLINE CIBULKA (PA-C)'s NPI record is not deactivated in the public file.
How should patients interpret CAROLINE CIBULKA (PA-C)'s specialty?
The extract shows Physician Assistant for CAROLINE CIBULKA (PA-C). Clinical services aligned with this taxonomy classification.
Is CAROLINE CIBULKA (PA-C) tied to Cedarburg, Wisconsin?
If you are local to Cedarburg, Wisconsin, CAROLINE CIBULKA (PA-C) may be relevant to your search.
Why is information missing for CAROLINE CIBULKA (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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