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NIKKI ALLEN MD
NPI 1043235153
Family Medicine in Cudahy, WI

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
4580 S NICHOLSON AVE, CUDAHY, WI 53110(414) 326-4800(855) 270-4751 Get Directions Write a Review

NPPES record last updated: September 21, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 21, 2019, Sep 14, 2019, Apr 27, 2018 (3 updates tracked since 2018).

About Nikki Allen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NIKKI ALLEN MD (NPI 1043235153) is an individual family medicine provider in Cudahy, Wisconsin, licensed in Wisconsin (43605-020) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Medical College Of Wisconsin (2000).

NPPES Registry Identity

NPI1043235153
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNIKKI ALLENCredential: MD
Location Address4580 S NICHOLSON AVECudahy, WI 53110-1360
Mailing Address4580 S Nicholson AveCudahy, WI 53110-1360 · (414) 326-4800 · Fax (855) 720-4751
Phone(414) 326-4800
Fax(855) 270-4751
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2000
Enumeration DateJuly 12, 2006
Last NPPES UpdateSeptember 21, 20193 updates tracked since enumeration
✔ NPI 1043235153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 43605-020
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4580 S NICHOLSON AVE, Cudahy, WI 53110
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nikki Allen Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698768141
PECOS Enrollment IDI20040408000441
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
169 services62 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
49 services49 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services24 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
20 services16 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
19 services19 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers13 claims67 services$5.83 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier16 claims960 services$4.57 avg. paid by Medicare
Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
2 suppliers19 claims1,200 services$0.82 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers31 claims31 services$188.87 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
5 suppliers25 claims25 services$26.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLEN FAMILY MEDICINE SC
Family Medicine
4580 S NICHOLSON AVE
CUDAHY, WI 53110
Milwaukee County (414) 326-4800
MRS. TRACY A PROULX FNP-BC
Nurse Practitioner
4580 S NICHOLSON AVE
CUDAHY, WI 53110
Milwaukee County (414) 326-4800
MR. TIMOTHY WILLIAM ALLEN MD
Family Medicine
4580 S NICHOLSON AVE
CUDAHY, WI 53110
Milwaukee County (414) 326-4800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nikki Allen's NPI number?

The NPI number for Nikki Allen is 1043235153. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Nikki Allen located?

Nikki Allen practices at 4580 S Nicholson Ave, Cudahy, WI 53110. The listed phone number is (414) 326-4800.

What is Nikki Allen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nikki Allen enrolled in Medicare?

Yes. Nikki Allen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nikki Allen accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Nikki Allen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nikki Allen affiliated with any hospitals?

According to CMS data, Nikki Allen is affiliated with Aurora St Lukes Medical Center.

When was this NPI record last updated?

The NPPES record for Nikki Allen was last updated on September 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.