1. Home
  2. Directory
  3. Wisconsin
  4. Madison
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

NICHOLAS BLEECKER VANDERWERKER MD
NPI 1104769488
Student in an Organized Health Care Education/Training Program in Madison, WI

Active since April 13, 2026PECOS Enrolled
749 UNIVERSITY ROW, MADISON, WI 53705(608) 263-6400 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicholas Bleecker Vanderwerker Md NPPES

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

NICHOLAS BLEECKER VANDERWERKER MD (NPI 1104769488) is an individual student in an organized health care education/training program in Madison, Wisconsin and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104769488
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameNICHOLAS BLEECKER VANDERWERKERCredential: MD
Location Address749 UNIVERSITY ROWMadison, WI 53705-1465
Mailing AddressUw Health - Gme, 749 University RowMadison, WI 53705-1465
Phone(608) 263-6400
Sole ProprietorNo
Enumeration DateApril 13, 2026
NPPES CertifiedApril 12, 2026
✔ NPI 1104769488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
749 UNIVERSITY ROW, Madison, WI 53705
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Bleecker Vanderwerker Md 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.

Other Providers at the Same Location NPPES 13

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

DR. BRITTANY E BOWEN DDS
Dentist
749 UNIVERSITY ROW
MADISON, WI 53705
Dane County (608) 238-7112
DR. LANCE T MILLER D.D.S.
Clinic/Center (Dental)
749 UNIVERSITY ROW
MADISON, WI 53705
Dane County (608) 238-7112
SAMANTHA NAUER ATC
Specialist/Technologist (Athletic Trainer)
749 UNIVERSITY ROW
MADISON, WI 53705
Dane County (608) 931-1181
DR. GRACE ELLEN FLOOD M.D.
Family Medicine
749 UNIVERSITY ROW, MC: 9925
MADISON, WI 53705
Dane County (608) 209-7832
RIGINA LOUISE GALLAGHER
Psychiatry & Neurology (Psychiatry)
749 UNIVERSITY ROW
MADISON, WI 53705
Dane County (608) 263-6400
MR. TAREK ZIAD ABI-SAAB M.D.
Student in an Organized Health Care Education/Training Program
749 UNIVERSITY ROW, UW HEALTH-GME SUITE 200
MADISON, WI 53705
Dane County (608) 263-6400
DR. RUSSELL T GRIMM D.D.S.
Dentist
749 UNIVERSITY ROW
MADISON, WI 53705
Dane County (608) 238-7112
KESHVI MAHENDRASINH CHAUHAN M.B.B.S
Student in an Organized Health Care Education/Training Program
749 UNIVERSITY ROW, SUITE 200
MADISON, WI 53705
Dane County (608) 628-4842

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 Nicholas Vanderwerker's NPI number?

The NPI number for Nicholas Vanderwerker is 1104769488. It was assigned to this individual provider in the NPPES registry on April 13, 2026.

Where is Nicholas Vanderwerker located?

Nicholas Vanderwerker practices at 749 University Row, Madison, WI 53705. The listed phone number is (608) 263-6400.

What is Nicholas Vanderwerker's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Nicholas Vanderwerker enrolled in Medicare?

Yes. Nicholas Vanderwerker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nicholas Vanderwerker was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.