Active NPI
Nicole Laabs, PA-C
- Physician Assistant
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2677-23
- Practice address
- 2555 N Martin Luther King Dr
Milwaukee, WI 53212-2709 - Phone
- (414) 267-2080
- Fax
- (414) 267-8570
- NPI assigned
- Oct 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2677-23 | WI | Primary |
Addresses
Primary practice location
2555 N Martin Luther King Dr
Milwaukee, WI 53212-2709
Mailing address
2555 N Martin Luther King Dr
Milwaukee, WI 53212-2709
Phone (414) 267-2080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K400308317 | Other | WI | MEDICARE PTAN |
Other names 1
- Nicole Miller
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4650 S Howell Ave
Milwaukee, WI 53207-5908
Phone (414) 376-5577
5408 W Burleigh St
Milwaukee, WI 53210-1624
Phone (414) 362-8147
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2677-23 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Healthcare, Inc | Current | Accepting new patients | |
| Milwaukee Health Services Inc | Current | Accepting new patients | |
| Milwaukee Health Services, Inc. | Current | Accepting new patients |
Locations
3410 80th St
Kenosha, WI 53142
Phone (262) 697-0825
5408 W Burleigh St
Milwaukee, WI 53210
Phone (414) 445-6520
2819 W Highland Blvd
Milwaukee, WI 53208
Phone (414) 939-7145
4650 S Howell Ave
Milwaukee, WI 53207
Phone (414) 294-0144
2835 N 32nd St
Milwaukee, WI 53210
Phone (414) 342-6200
2555 N Mlk Dr
Milwaukee, WI 53212
Phone (414) 267-2022
835 Wisconsin Ave
Racine, WI 53403
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1225052830
-
- Federally Qualified Health Center (FQHC)
- Milwaukee, WI
- NPI 1518005818
-
- Case Management Agency
- Milwaukee, WI
- NPI 1346657442
-
- Clinic Pharmacy
- Milwaukee, WI
- NPI 1376570663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1942519418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2555 N MARTIN LUTHER KING DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532122709",
"telephone_number": "414-267-2080",
"fax_number": "414-267-8570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2555 N MARTIN LUTHER KING DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532122709",
"telephone_number": "414-267-2080",
"fax_number": "414-267-8570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAABS",
"first_name": "NICOLE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-01",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "2677-23",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "K400308317",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "MILLER",
"credential": "PA-C",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.