Active NPI
Nichole N Sciaccotta, APNP
- Nurse Practitioner
- New Berlin, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 10067
- Practice address
- 14555 W National Ave
New Berlin, WI 53151-4494 - Phone
- (844) 284-0381
- NPI assigned
- Jul 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 10067 | WI | Primary |
| Nurse Practitioner | 363L00000X | 209019549 | IL |
Addresses
Primary practice location
14555 W National Ave
New Berlin, WI 53151-4494
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
633 Ridgeview Dr
McHenry, IL 60050-7012
Phone (815) 344-0621
Other practice location 2
1441 Branding Ave Ste 310
Downers Grove, IL 60515-5624
Phone (262) 693-4311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093377905 | Medicaid | WI |
Other names 1
- Nichole Clark
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nclark382270@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
633 Ridgeview Dr
McHenry, IL 60050-7012
Phone (815) 344-0621
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10067 | WI | MD | Nurse Practitioner |
| 209019549 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Journeycare, Inc. | Current | Accepting new patients | |
| Journeycare, Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
2050 Claire Ct
Glenview, IL 60025
Phone (847) 467-7425
633 Ridgeview Dr
McHenry, IL 60050
Phone (815) 344-0621
405 Lake Zurich Rd
North Barrington, IL 60010
Phone (847) 381-5599
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
14555 W National Ave
#195B
New Berlin, WI 53151
Phone (262) 827-3290
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Advocate Medical Group
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Community Based Hospice Care Agency
- Barrington, IL
- NPI 1154324994
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
dba Advocate Children's Hospital
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
-
dba Advocate Good Samaritan Hospital
- General Acute Care Hospital
- Downers Grove, IL
- NPI 1578670543
-
- Community Based Hospice Care Agency
- Barrington, IL
- NPI 1821049933
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Advocate Good Shepherd Hospital
- General Acute Care Hospital
- Barrington, IL
- NPI 1447368071
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
dba Centegra Hospital McHenry
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1093377905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14555 W NATIONAL AVE",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531514494",
"telephone_number": "844-284-0381"
}
],
"practiceLocations": [
{
"address_1": "633 Ridgeview Dr",
"address_purpose": "LOCATION",
"city": "McHenry",
"state": "IL",
"postal_code": "600507012",
"country_code": "US",
"telephone_number": "815-344-0621",
"fax_number": "815-344-0664",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1441 Branding Ave Ste 310",
"address_purpose": "LOCATION",
"city": "Downers Grove",
"state": "IL",
"postal_code": "605155624",
"country_code": "US",
"telephone_number": "262-693-4311",
"fax_number": "414-203-3788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCIACCOTTA",
"first_name": "NICHOLE",
"middle_name": "N",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-01",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "10067",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209019549",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093377905",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nclark382270@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "633 Ridgeview Dr",
"city": "McHenry",
"state": "IL",
"country_code": "US",
"postal_code": "600507012",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "633 Ridgeview Dr",
"city": "McHenry",
"state": "IL",
"country_code": "US",
"postal_code": "600507012",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "NICHOLE",
"last_name": "CLARK",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.