Individual provider Active NPI

Nicole Winger, PA-C

  • Physician Assistant
  • Osceola, WI
National Provider Identifier
1215730213
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2600 65TH Ave
Osceola, WI 54020-4376
Phone
(715) 294-2111
NPI assigned
Mar 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2600 65TH Ave
Osceola, WI 54020-4376

Mailing address

3250 Old Orchard Rd
Eau Claire, WI 54703-6605
Phone (715) 456-7793

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024001056 WI Practitioner - Physician Assistant 8729576384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ladd Memorial HospitalGroup PAC ID 9931092848, 69 clinicians

Practice addresses (Care Compare)

2600 65TH Ave
Osceola, WI 54020-4370
Phone (715) 294-2111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ladd Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients
Ladd Memorial Hospital CurrentSince Oct 1, 2025 Accepting new patients
Ladd Memorial Hospital Past Accepting new patients

Locations

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1215730213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 OLD ORCHARD RD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547036605",
            "telephone_number": "715-456-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 65TH AVE",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540204376",
            "telephone_number": "715-294-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINGER",
        "first_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, WI

Sources for this page

Verify at the official NPI Registry.