Active NPI
Nicholas Hanke, CSFA
- Surgical Assistant
- Wausau, WI
National Provider Identifier
1164095956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 179985
- Practice address
- 333 Pine Ridge Blvd
Wausau, WI 54401-4102 - Phone
- (715) 847-2022
- NPI assigned
- Jul 20, 2021
- 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 |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 179985 | WI | Primary |
Addresses
Primary practice location
333 Pine Ridge Blvd
Wausau, WI 54401-4102
Mailing address
309 Sturgeon Eddy Rd
Wausau, WI 54403-6627
Phone (715) 218-2658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 179985 | WI | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1164095956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 STURGEON EDDY RD",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544036627",
"telephone_number": "715-218-2658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 PINE RIDGE BLVD",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014102",
"telephone_number": "715-847-2022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANKE",
"first_name": "NICHOLAS",
"credential": "CSFA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-20",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "WI",
"license": "179985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.