MRS. NICHOLE M ELMENDORF OTR
NPI 1255519443
Occupational Therapist - Pediatrics in Sheboygan, WI
About Mrs. Nichole M Elmendorf Otr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICHOLE M ELMENDORF OTR (NPI 1255519443) is an individual pediatrics provider in Sheboygan, Wisconsin, licensed in Wisconsin (2461) and active in the NPI registry since February 2008.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Nichole M Elmendorf Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nichole Elmendorf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Elmendorf's NPI number?
The NPI number for Nichole Elmendorf is 1255519443. It was assigned to this individual provider in the NPPES registry on February 10, 2008.
Where is Nichole Elmendorf located?
Nichole Elmendorf practices at 1125 N 13th St, Sheboygan, WI 53081. The listed phone number is (920) 803-1617.
What is Nichole Elmendorf's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.
Is Nichole Elmendorf enrolled in Medicare?
Yes. Nichole Elmendorf is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nichole Elmendorf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Elmendorf reassigns Medicare benefits to Progressive Beginnings, LLC (Sheboygan, WI). The 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 Elmendorf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nichole Elmendorf accept?
Health plans from UnitedHealthcare list Nichole Elmendorf 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 Nichole Elmendorf was last updated on October 10, 2022. 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.