NPIMap

Individual provider Active NPI

Nicole M Wolfgram, FNP-BC

  • Family Nurse Practitioner
  • Rhinelander, WI
National Provider Identifier
1447593454
Registry record updated Aug 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5249-33 Issued in WI
Practice address
2251 N Shore Dr
Suite 100
Rhinelander, WI 54501-6710
Phone
(715) 361-2000
Fax
(715) 361-2762
NPI assigned
Mar 28, 2013
Last updated
Aug 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5249-33 WI Primary

Addresses

Primary practice location

2251 N Shore Dr
Suite 100
Rhinelander, WI 54501-6710

Mailing address

2251 N Shore Dr
Suite 100
Rhinelander, WI 54501-6710
Phone (715) 361-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131001000043 WI Practitioner - Nurse Practitioner 9931333119 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

420 Dewey St
Wisconsin Rapids, WI 54494-4714
Phone (715) 422-7750

824 Illinois Ave
Stevens Point, WI 54481-3112
Phone (715) 344-1600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5249-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medical Group, Inc. CurrentSince Jan 12, 2019 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince May 28, 2022 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jul 19, 2016 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Jan 7, 2026 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Jan 12, 2019 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jul 19, 2016 Accepting new patients
Thedacare, Incorporated CurrentSince Oct 10, 2016 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince May 28, 2022 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin Current Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Advanced Pain Management, SC CurrentSince Mar 23, 2015 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Mar 1, 2017 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Jan 12, 2019 Accepting new patients
Advanced Pain Management SC CurrentSince Mar 23, 2015 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin CurrentSince Mar 1, 2017 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Current Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jan 12, 2019 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

110 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2351

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

4131 W Loomis Rd
Ste 300
Milwaukee, WI 53221
Phone (414) 325-3713

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

333 Pine Ridge Blvd
Ste 320
Wausau, WI 54401

400 Westwood Dr
#200
Wausau, WI 54401
Phone (715) 261-0425

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

701 Grove Ave
Wild Rose, WI 54984
Phone (920) 361-5340

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Interoperability endpoints

  • Direct secure messaging: nwolfgram64337@direct.aspirus.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 33

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472256000000",
    "number": "1447593454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 N SHORE DR",
            "address_2": "SUITE 100",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545016710",
            "telephone_number": "715-361-2000",
            "fax_number": "715-361-2762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SHORE DR",
            "address_2": "SUITE 100",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545016710",
            "telephone_number": "715-361-2000",
            "fax_number": "715-361-2762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFGRAM",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-28",
        "last_updated": "2016-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "5249-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

Verify at the official NPI Registry.