Nicole Saleske, FNP-BC, APNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

9624-33 Issued in WI

Practice address

2638 Tulip LN Ste B
Green Bay, WI 54313-2801

Phone

(920) 429-2844

NPI assigned

Sep 19, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 12, 2022 through Jan 12, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1992355085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 JOEANNA WAY",
            "city": "PULASKI",
            "state": "WI",
            "postal_code": "541629206",
            "telephone_number": "920-252-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 TULIP LN STE B",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543132801",
            "telephone_number": "920-429-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALESKE",
        "first_name": "NICOLE",
        "credential": "FNP-BC, APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9624-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Sagers, DPT
• Saha Cares
• Saied Assef, M.D., S.C.
• Arthur Hernandez Salas, LMT
• Lorie Ann Salentine, REG DENTAL HYGIENIST
• Charles Walter Saletta, MD
• Brittany Skye Bjoraker Saller, CRNA
• Jeremy Saller, M.D.
• Angela Marie Salm, MSW
• Jay Matthew Salmon, M.D.

• Nurse Practitioner in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.