Active NPI
Wyatt Anthony Chicoine, DO
- Family Medicine Physician
- Germantown, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8158721
- Practice address
- W168N11237 Western Ave
Germantown, WI 53022-3239 - Phone
- (262) 253-5060
- Fax
- (262) 532-3467
- NPI assigned
- Apr 10, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8158721 | WI | Primary |
Addresses
Primary practice location
W168N11237 Western Ave
Germantown, WI 53022-3239
Mailing address
W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1155 N Mayfair Rd
Wauwatosa, WI 53226-3462
Phone (414) 955-5990
1700 W Paradise Dr
West Bend, WI 53095-9795
Phone (262) 334-3451
4805 S Moorland Rd
New Berlin, WI 53151-7401
Phone (262) 798-7200
N91W15750 Falls Pkwy
Menomonee Falls, WI 53051-2301
Phone (262) 532-1100
W129N7055 Northfield Dr
Menomonee Falls, WI 53051-0538
Phone (262) 253-5400
W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8158721 | WI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients |
Locations
W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060
W180N8000 Town Hall Rd
Menomonee Falls, WI 53051
Phone (262) 255-2500
1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990
Interoperability endpoints
- cwyatt569451@direct.froedtert.com
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CDI-Froedtert Memorial Lutheran Hospital
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1255334173
-
- Home Health Agency
- Milwaukee, WI
- NPI 1780687327
-
dba Froedtert West Bend Hospital
- General Acute Care Hospital
- West Bend, WI
- NPI 1851336044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1124760202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W168N11237 WESTERN AVE",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530223239",
"telephone_number": "262-253-5060",
"fax_number": "262-532-3467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W168N11237 WESTERN AVE",
"city": "GERMANTOWN",
"state": "WI",
"postal_code": "530223239",
"telephone_number": "262-253-5060",
"fax_number": "262-532-3467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHICOINE",
"first_name": "WYATT",
"middle_name": "ANTHONY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-10",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "8158721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, WI
- Adam F Campbell
- Alvin F Cardona, MD
- Kathleen Cedeno, OT
- Center for Medical Imaging Inc
- Kathryn Marie Charles, R.N.
- Children's Hospital of Wisconsin
- Chiro One Wellness Center of Germantown LLC
- Chiropractic Company - Germantown LTD (Chiropractic Company)
- Katerina Christopherson, MD
- Shanelle Elaine Clayberg, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.