Individual provider Active NPI

Julie Chicks, M.D.

  • Addiction Medicine (Internal Medicine) Physician
  • Grafton, WI
National Provider Identifier
1265482830
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
40099 Issued in WI
Practice address
1990 Wisconsin Ave
Stop 1
Grafton, WI 53024-2601
Phone
(262) 377-2900
Fax
(262) 377-5349
NPI assigned
May 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40099 WI
Addiction Medicine (Internal Medicine) Physician 207RA0401X 40099 WI Primary

Addresses

Primary practice location

1990 Wisconsin Ave
Stop 1
Grafton, WI 53024-2601

Mailing address

1990 Wisconsin Ave
Grafton, WI 53024-2601
Phone (262) 377-2900

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040827000455 WI Practitioner - Internal Medicine 9133194723 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Wisconsin School of Medicine, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1990 Wisconsin Ave
Stop 2
Grafton, WI 53024-2601
Phone (262) 377-2900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40099WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Chicks, M.D. Internal Medicine Current Accepting new patients
Schneider Counseling and Consultation LLC CurrentSince Feb 11, 2024 Accepting new patients
Advanced Healthcare SC Internal Medicine Past Accepting new patients
Aurora Advanced Healthcare, Inc. Internal Medicine Past Accepting new patients

Locations

1990 Wisconsin Ave
Stop 2
Grafton, WI 53024
Phone (262) 377-2900

1990 Wisconsin Ave
Stop 1
Grafton, WI 53024
Phone (262) 377-2900

1990 Wisconsin Ave
Grafton, WI 53024
Phone (262) 375-2305

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1265482830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 WISCONSIN AVE",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242601",
            "telephone_number": "262-377-2900",
            "fax_number": "262-377-5349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 WISCONSIN AVE",
            "address_2": "STOP 1",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242601",
            "telephone_number": "262-377-2900",
            "fax_number": "262-377-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHICKS",
        "first_name": "JULIE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "40099",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "WI",
            "license": "40099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grafton, WI

Sources for this page

Verify at the official NPI Registry.