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NICOLE ELIZABETH FORBORD PA
NPI 1063921781
Physician Assistant in Milwaukee, WI

Active since September 26, 2017PECOS Enrolled
10625 W NORTH AVE STE 102, MILWAUKEE, WI 53226(414) 877-5350(414) 877-5360 Get Directions Write a Review

NPPES record last updated: August 11, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2020, Feb 27, 2018 (2 updates tracked since 2018).

About Nicole Elizabeth Forbord Pa NPPES

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

NICOLE ELIZABETH FORBORD PA (NPI 1063921781) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (4293-23) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1063921781
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE ELIZABETH FORBORDCredential: PA
Location Address10625 W NORTH AVE STE 102Milwaukee, WI 53226-2315
Mailing Address10625 W North Ave Ste 102Milwaukee, WI 53226-2315 · (414) 877-5350 · Fax (414) 877-5360
Phone(414) 877-5350
Fax(414) 877-5360
Sole ProprietorNo
Enumeration DateSeptember 26, 2017
Last NPPES UpdateAugust 11, 20202 updates tracked since enumeration
NPPES CertifiedAugust 11, 2020
✔ NPI 1063921781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 4293-23
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10625 W NORTH AVE STE 102, Milwaukee, WI 53226
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Secondary Practice Location 1

Location 1531 Broadway E Ste 10Seattle, WA 98102-5023 · Phone (503) 684-8252

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Elizabeth Forbord Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
59 services59 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
46 services45 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

DR. JESSICA NICOLE REZMER D.O.
Emergency Medicine
10625 W NORTH AVE STE 102
MILWAUKEE, WI 53226
Milwaukee County (414) 858-2216
ERIC KORTBEIN P.A.-C
Physician Assistant
10625 W NORTH AVE STE 102
WAUWATOSA, WI 53226
Milwaukee County (414) 858-2216
ALLISON ERIN GRACE MD
Emergency Medicine
10625 W NORTH AVE STE 102
MILWAUKEE, WI 53226
Milwaukee County (414) 877-5350
ROBERT THOMAS TRUPPE
Physician Assistant (Medical)
10625 W NORTH AVE STE 102
WAUWATOSA, WI 53226
Milwaukee County (414) 877-5350
ANDREW LAU
Emergency Medicine
10625 W NORTH AVE STE 102
MILWAUKEE, WI 53226
Milwaukee County (414) 877-5350
BRITTNI MARIE STREGE
Physician Assistant
10625 W NORTH AVE STE 102
MILWAUKEE, WI 53226
Milwaukee County (414) 877-5350
MS. STEPHANIE M. O'DELL NP
Nurse Practitioner (Family)
10625 W NORTH AVE STE 102
MILWAUKEE, WI 53226
Milwaukee County (414) 877-5350
DR. SUSAN ERICKSON GOOD M.D.
Emergency Medicine
10625 W NORTH AVE STE 102
MILWAUKEE, WI 53226
Milwaukee County (414) 877-5350

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 Nicole Forbord's NPI number?

The NPI number for Nicole Forbord is 1063921781. It was assigned to this individual provider in the NPPES registry on September 26, 2017.

Where is Nicole Forbord located?

Nicole Forbord practices at 10625 W North Ave Ste 102, Milwaukee, WI 53226. The listed phone number is (414) 877-5350.

What is Nicole Forbord's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Forbord enrolled in Medicare?

Yes. Nicole Forbord is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Forbord accept?

Health plans from Providence Health Plan list Nicole Forbord 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.

When was this NPI record last updated?

The NPPES record for Nicole Forbord was last updated on August 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.