NPIMap

Individual provider Active NPI

Nikki Allen, MD

  • Family Medicine Physician
  • Cudahy, WI
National Provider Identifier
1043235153
Registry record updated Sep 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
43605-020 Issued in WI
Practice address
4580 S Nicholson Ave
Cudahy, WI 53110-1360
Phone
(414) 326-4800
Fax
(855) 270-4751
NPI assigned
Jul 12, 2006
Last updated
Sep 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 43605-020 WI Primary

Addresses

Primary practice location

4580 S Nicholson Ave
Cudahy, WI 53110-1360

Mailing address

4580 S Nicholson Ave
Cudahy, WI 53110-1360
Phone (414) 326-4800

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nikki.allen.1@18758.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408000441 WI Practitioner - Family Practice 5698768141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Wisconsin, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Physicians of Wisconsin LLCGroup PAC ID 3274842034, 42 clinicians
Allen Family Medicine SCGroup PAC ID 5799299194, 2 clinicians

Practice addresses (Care Compare)

4580 S Nicholson Ave
Cudahy, WI 53110-1360
Phone (414) 326-4800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
43605-020WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allen Family Medicine SC Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Independent Physicians of Wisconsin, LLC CurrentSince May 29, 2019 Accepting new patients
Independent Physicians of Wisconsin, LLC Family Medicine CurrentSince May 29, 2019 Accepting new patients
Aurora Health Care Metro, Inc. Family Medicine Past Accepting new patients

Locations

4580 S Nicholson Ave
Cudahy, WI 53110
Phone (414) 326-4800

5434 W Capitol Dr
Ste 3
Milwaukee, WI 53216
Phone (414) 217-1229

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18758/brand/1/csg/1/fhir/r4
  • Direct secure messaging: nikki.allen.1@18758.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569024000000",
    "number": "1043235153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4580 S NICHOLSON AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101360",
            "telephone_number": "414-326-4800",
            "fax_number": "855-720-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4580 S NICHOLSON AVE",
            "city": "CUDAHY",
            "state": "WI",
            "postal_code": "531101360",
            "telephone_number": "414-326-4800",
            "fax_number": "855-270-4751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "NIKKI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "43605-020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nikki.allen.1@18758.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "4580 S Nicholson Ave",
            "city": "Cudahy",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531101360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cudahy, WI

Sources for this page

Verify at the official NPI Registry.