Individual provider Active NPI

Nicole J Helmholdt, MSN, APNP, FNP-BC

  • Family Nurse Practitioner
  • Stoughton, WI
National Provider Identifier
1629437439
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
15245-33 Issued in WI
Practice address
1901 S Academy St
Stoughton, WI 53589-4204
Phone
(608) 658-5522
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 15245-33 WI Primary
Home Health Registered Nurse 163WH0200X 196327 WI

Addresses

Primary practice location

1901 S Academy St
Stoughton, WI 53589-4204

Mailing address

502 Plaza Dr Unit 303
Madison, WI 53719-3829
Phone (608) 658-5522

Other identifiers 1

IdentifierTypeStateIssuer
16MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241016000147 WI Practitioner - Hospitalist 1456883461 Reassigns benefits to 1 organization
I20241101000801 WI Practitioner - Nurse Practitioner 1456883461 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beam Healthcare, SCGroup PAC ID 2961852785, 19 clinicians
Aspirus Stevens Point Hospital and Clinics, Inc.Group PAC ID 1850358938, 136 clinicians

Practice addresses (Care Compare)

5535 Nobel Dr
Fitchburg, WI 53711-4955
Phone (608) 398-1000

900 Illinois Ave
Stevens Point, WI 54481-3114
Phone (715) 346-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
196327WIMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Beam Healthcare, SC CurrentSince Sep 15, 2024 Accepting new patients
Wil Hospitalists LLC CurrentSince Oct 8, 2025 Accepting new patients

Locations

5535 Nobel Dr
Fitchburg, WI 53711
Phone (414) 405-8348

25 W Main St
Fl 5
Madison, WI 53703
Phone (888) 250-2326

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": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1629437439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 PLAZA DR UNIT 303",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537193829",
            "telephone_number": "608-658-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S ACADEMY ST",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535894204",
            "telephone_number": "608-658-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELMHOLDT",
        "first_name": "NICOLE",
        "middle_name": "J",
        "credential": "MSN, APNP, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "15245-33",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "196327",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "16",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, WI

Sources for this page

Verify at the official NPI Registry.