NICOLE SCHWARTZ
NPI 1205378114
Nurse Practitioner in Waterford, WI

Active since November 08, 2016PECOS EnrolledAccepts Medicare Assignment
818 FORREST LN, WATERFORD, WI 53185(262) 514-8199 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 15, 2025, Nov 19, 2021, Nov 8, 2016 (3 updates tracked since 2016).

About Nicole Schwartz NPPES

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

NICOLE SCHWARTZ (NPI 1205378114) is an individual nurse practitioner in Waterford, Wisconsin, licensed in Wisconsin (7192-33) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Milwaukee, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1205378114
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNICOLE SCHWARTZ
Location Address818 FORREST LNWaterford, WI 53185-4585
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 8, 2016
Last NPPES UpdateDecember 15, 20253 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1205378114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 7192-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
818 FORREST LN, Waterford, WI 53185

Secondary Practice Location 1

Location 12801 W Kinnickinnic River Pkwy, Suite 630Milwaukee, WI 53215-3669 · Phone (414) 385-1833 · Fax (414) 385-2408

Other Identifiers 1

Medicaid100062819WI

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

Nicole Schwartz 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 ID8729368725
PECOS Enrollment IDI20161208002433
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

2

Medicare enrollment records show Nicole Schwartz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
Nurse Practitioner
11270 N PORT WASHINGTON RD
Mequon, WI 53092
  • Reassigned Medicare billing, Wisconsin enrollment
  • 21 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53185 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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 6

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

Nurse Practitioner
818 FORREST LN
WATERFORD, WI 53185
Nurse Practitioner
818 FORREST LN
WATERFORD, WI 53185
Pediatrics
818 FORREST LN
WATERFORD, WI 53185
Family Medicine
818 FORREST LN
WATERFORD, WI 53185
Nurse Practitioner
818 FORREST LN
WATERFORD, WI 53185
Nurse Practitioner
818 FORREST LN
WATERFORD, WI 53185

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 Schwartz's NPI number?

The NPI number for Nicole Schwartz is 1205378114. It was assigned to this individual provider in the NPPES registry on November 8, 2016.

Where is Nicole Schwartz located?

Nicole Schwartz practices at 818 Forrest Ln, Waterford, WI 53185. The listed phone number is (262) 514-8199.

What is Nicole Schwartz's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Nicole Schwartz enrolled in Medicare?

Yes. Nicole Schwartz 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 Nicole Schwartz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Schwartz reassigns Medicare benefits to 2 organizations: Aurora Medical Group, Inc. (West Allis, WI) and Aurora Quick Care, LLC (Mequon, 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 Nicole Schwartz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Schwartz accept?

Health plans from Aspirus Health Plan and CareSource (Common Ground Healthcare) list Nicole Schwartz 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 Schwartz was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.