GLENN A NICKELE MD
NPI 1093781452
Internal Medicine - Cardiovascular Disease in Saint Croix Falls, WI

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment
216 S ADAMS ST, SAINT CROIX FALLS, WI 54024(715) 483-3221(715) 483-0507 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2024, Aug 28, 2019 (2 updates tracked since 2019).

About Glenn A Nickele Md NPPES

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

GLENN A NICKELE MD (NPI 1093781452) is an individual cardiovascular disease provider in Saint Croix Falls, Wisconsin, licensed in Wisconsin (32220) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Cambridge Medical Center, and maintains a secondary practice location in St Paul.

NPPES Registry Identity

NPI1093781452
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameGLENN A NICKELECredential: MD
Location Address216 S ADAMS STSaint Croix Falls, WI 54024-9449
Mailing Address235 State StreetSt. Croix Falls, WI 54024-4117 · (715) 483-3261 · Fax (715) 483-0507
Fax(715) 483-0507
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1989
Enumeration DateFebruary 27, 2006
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1093781452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in WI · 32220✔ Licensed in MN · 42548
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
216 S ADAMS ST, Saint Croix Falls, WI 54024

Secondary Practice Location 1

Location 1640 Jackson St, MC 11102HSt Paul, MN 55101-2502 · Phone (651) 254-5175 · Fax (651) 254-1603

Other Identifiers 1

Medicaid468980100MN

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Glenn A Nickele 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 ID2567364128
PECOS Enrollment IDI20040123000428, I20120103000597
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Glenn Nickele reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
235 STATE ST
Saint Croix Falls, WI 54024
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • 241 clinicians in this Medicare group
Rural Health
2547 STATE ROAD 35 STE 1
Luck, WI 54853
  • Reassigned Medicare billing, Wisconsin enrollment
  • 348 clinicians in this Medicare group
Family Medicine
700 RIVARD ST
Somerset, WI 54025
  • Reassigned Medicare billing, Wisconsin enrollment
  • 232 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
129 services127 patients

Hospital Affiliations CMS Care Compare 5

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

Cambridge Medical Center

Acute Care Hospitals · Cambridge, MN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240020
Location701 South Dellwood AvenueCambridge, MN 55008 · Isanti County
Emergency services

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Ladd Memorial Hospital

Critical Access Hospitals · Osceola, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521318
Location2600 65th AvenueOsceola, WI 54020 · Polk County
Emergency services

St Croix Regional Medical Center

Critical Access Hospitals · Saint Croix Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521337
Location235 E State StreetSaint Croix Falls, WI 54024 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54024 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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 5

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

Pharmacist
216 S ADAMS ST
SAINT CROIX FALLS, WI 54024
Pharmacist
216 S ADAMS ST
SAINT CROIX FALLS, WI 54024
Clinic/Center (Rural Health)
216 S ADAMS ST
SAINT CROIX FALLS, WI 54024
Pharmacy (Community/Retail Pharmacy)
216 S ADAMS ST
SAINT CROIX FALLS, WI 54024
Podiatrist (Foot & Ankle Surgery)
216 S ADAMS ST
SAINT CROIX FALLS, WI 54024

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 Glenn Nickele's NPI number?

The NPI number for Glenn Nickele is 1093781452. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Glenn Nickele located?

Glenn Nickele practices at 216 S Adams St, Saint Croix Falls, WI 54024. The listed phone number is (715) 483-3221.

What is Glenn Nickele's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Glenn Nickele enrolled in Medicare?

Yes. Glenn Nickele 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.

Which organizations bill Medicare for Glenn Nickele's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Glenn Nickele reassigns Medicare benefits to 3 organizations: St. Croix Regional Medical Center (Saint Croix Falls, WI), Amery Regional Medical Center, Inc. (Luck, WI) and Group Health, Inc. (Somerset, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Glenn Nickele's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Glenn Nickele accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners and Security Health Plan list Glenn Nickele 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 Glenn Nickele affiliated with any hospitals?

According to CMS data, Glenn Nickele is affiliated with Cambridge Medical Center, Allina United Hospital, Regions Hospital, Ladd Memorial Hospital and St Croix Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Glenn Nickele was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.