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DR. NICOLE BALLINGER D.O.
NPI 1104914951
Psychiatry & Neurology - Child & Adolescent Psychiatry in Wauwatosa, WI

Active since October 10, 2006PECOS Enrolled
1220 DEWEY AVE, WAUWATOSA, WI 53213(414) 454-6600(414) 454-6766 Get Directions Write a Review

NPPES record last updated: November 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 22, 2021, Jun 17, 2019 (2 updates tracked since 2019).

About Dr. Nicole Ballinger D.o. NPPES

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

DR. NICOLE BALLINGER D.O. (NPI 1104914951) is an individual child & adolescent psychiatry provider in Wauwatosa, Wisconsin, licensed in Wisconsin (52794-021) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Apo.

NPPES Registry Identity

NPI1104914951
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. NICOLE BALLINGERCredential: D.O.
Location Address1220 DEWEY AVEWauwatosa, WI 53213
Mailing Address1220 Dewey AveWauwatosa, WI 53213-2504 · (414) 454-6600 · Fax (414) 454-6766
Phone(414) 454-6600
Fax(414) 454-6766
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateNovember 22, 20212 updates tracked since enumeration
NPPES CertifiedNovember 22, 2021
✔ NPI 1104914951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in WI · 52794-021
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 52794-021 (WI)
1220 DEWEY AVE, Wauwatosa, WI 53213
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Secondary Practice Location 1

Location 152d Medical Group, Unit 3865APO, AE 09126-3865 · Phone 4906565618238

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Medica, 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 (PECOS)

Dr. Nicole Ballinger D.o. 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 20

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

AMANDA DRESSER
Pharmacist
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6796
JEAN A MUERHOFF-SCHWEDA PSY.D.
Psychologist
1220 DEWEY AVE, LORTON BLDG, RM 208
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6731
DR. UPTON THOMAS M.D.
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6754
DR. ASHOK R BEDI MD
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6610
DR. ABDUL MATEEN KHAZI MD
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6574
MICHAEL FULLER MCBRIDE MD
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6610
DR. KAROLE MARIE KUSLAK DO
Psychiatry & Neurology (Psychiatry)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6600
CHRISTINE S SCHULTZ-RODRIGUEZ
Social Worker (Clinical)
1220 DEWEY AVE
WAUWATOSA, WI 53213
Milwaukee County (414) 454-6707

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 Ballinger's NPI number?

The NPI number for Nicole Ballinger is 1104914951. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Nicole Ballinger located?

Nicole Ballinger practices at 1220 Dewey Ave, Wauwatosa, WI 53213. The listed phone number is (414) 454-6600.

What is Nicole Ballinger's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Nicole Ballinger enrolled in Medicare?

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

What insurance does Nicole Ballinger accept?

Health plans from CareSource (Common Ground Healthcare), Medica and UnitedHealthcare list Nicole Ballinger 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 Ballinger was last updated on November 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.