NICHOLE FELDMAN FNP-C
NPI 1174285787
Nurse Practitioner - Family in Fort Atkinson, WI
About Nichole Feldman Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICHOLE FELDMAN FNP-C (NPI 1174285787) is an individual family provider in Fort Atkinson, Wisconsin, licensed in Wisconsin (14634-33) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Nichole Feldman Fnp-c 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.
Medicare Billing Reassignments
2Medicare enrollment records show Nichole Feldman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fort Atkinson, WI 53538
- Reassigned Medicare billing, Wisconsin enrollment
- 298 clinicians in this Medicare group
Glendale, WI 53212
- Reassigned Medicare billing, Wisconsin enrollment
- 30 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fort Memorial Hospital
Acute Care Hospitals · Fort Atkinson, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53538 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nichole Feldman's NPI number?
The NPI number for Nichole Feldman is 1174285787. It was assigned to this individual provider in the NPPES registry on October 11, 2021.
Where is Nichole Feldman located?
Nichole Feldman practices at 1520 Madison Ave, Fort Atkinson, WI 53538. The listed phone number is (920) 563-5500.
What is Nichole Feldman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nichole Feldman enrolled in Medicare?
Yes. Nichole Feldman 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 Nichole Feldman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Feldman reassigns Medicare benefits to 2 organizations: Fort Healthcare, Inc. (Fort Atkinson, WI) and Cleanslate Medical Group Of Wisconsin, Sc (Glendale, 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 Nichole Feldman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nichole Feldman accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, MercyCare and MercyCare Health Plans and 1 other insurer list Nichole Feldman 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 Nichole Feldman affiliated with any hospitals?
According to CMS data, Nichole Feldman is affiliated with Fort Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Nichole Feldman was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nichole Feldman, FNP-C · NPI 1174285787
Family physician in Fort Atkinson, Wisconsin. Individual provider, active in the CMS NPPES registry since October 11, 2021.
## Identity
- **NPI:** 1174285787 (Entity type: Individual)
- **Enumerated:** October 11, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 14634-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1520 MADISON AVE, Fort Atkinson, WI 53538-3100
- **Phone:** (920) 563-5500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fort Healthcare, Inc. (NPI 1811916281, Fort Atkinson, WI); Cleanslate Medical Group Of Wisconsin, Sc (NPI 1518404854, Glendale, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** June 26, 2026
- **Other identifiers:** Medicaid 1174285787 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1174285787) · Data from the CMS NPPES public registry.