Individual provider Active NPI

Nicole C Li, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Madison, WI
National Provider Identifier
1689943250
Registry record updated Nov 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
7321-33 Issued in WI
Practice address
1001 Fourier Dr Ste 200
Madison, WI 53717-1958
Phone
(608) 740-2001
NPI assigned
Dec 27, 2011
Last updated
Nov 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7321 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 7321-33 WI Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 10376 MN

Addresses

Primary practice location

1001 Fourier Dr Ste 200
Madison, WI 53717-1958

Mailing address

1001 Fourier Dr Ste 200
Madison, WI 53717-1958
Phone (608) 740-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170213001622 WI Practitioner - Nurse Practitioner 1052694288 Reassigns benefits to 5 organizations
I20230901000586 MN Practitioner - Nurse Practitioner 1052694288
I20241205000230 IA Practitioner - Nurse Practitioner 1052694288 Reassigns benefits to 1 organization

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
Sequoia Integrative Medical Services LLCGroup PAC ID 8527480250, 15 clinicians
BCS of Wisconsin SCGroup PAC ID 7618232760, 18 clinicians

Practice addresses (Care Compare)

1351 Ontario Rd
Green Bay, WI 54311-8302
Phone (920) 328-1220

2717 N Grandview Blvd
Suite 102
Waukesha, WI 53188-1672
Phone (877) 906-9699

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7321WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Telecare Inc Single Specialty CurrentSince May 30, 2025 Accepting new patients
Watertown Physician Practices LLC Single Specialty CurrentSince Feb 9, 2022 Accepting new patients
Abstract Psychiatry, LLC Single Specialty Current Accepting new patients
Obsidian Integrative Psychiatry, LLC Single Specialty Current Accepting new patients
BCS of Wisconsin S.C. Single Specialty CurrentSince Oct 2, 2025 Accepting new patients
Evizzit of Iowa Psychiatry PC Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Signify Health Medical Associates, PLLC Single Specialty CurrentSince Feb 1, 2022 Accepting new patients
Watertown Physician Practices LLC Psychiatric/Mental Health CurrentSince Feb 9, 2022 Accepting new patients
Watertown Physician Practices LLC Single Specialty Current Accepting new patients
Sequoia Integrative Medical Services LLC Single Specialty CurrentSince Aug 22, 2024 Accepting new patients
Uhs Midwest Behavioral Health LLC Single Specialty CurrentSince Aug 3, 2025 Accepting new patients
Family Support Services Inc. Single Specialty PastSince Mar 3, 2024 Accepting new patients

Locations

1450 NW 114th St
Clive, IA 50325
Phone (515) 553-6200

1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1351 Ontario Rd
Green Bay, WI 54311
Phone (920) 328-1220

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566

123 Hospital Dr
Ste 110
Watertown, WI 53098
Phone (920) 261-0672

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

1507 Doctors Ct
Watertown, WI 53094
Phone (920) 261-4111

2717 N Grandview Blvd
Ste 102
Waukesha, WI 53188
Phone (262) 513-0700

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1324944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1689943250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 FOURIER DR STE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171958",
            "telephone_number": "608-740-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 FOURIER DR STE 200",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537171958",
            "telephone_number": "608-740-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "NICOLE",
        "middle_name": "C",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-27",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7321",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "7321-33",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "10376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.