NICHOLAS A HALLETT M.D.
NPI 1255694790
Pediatrics in Madison, WI

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment
1821 S STOUGHTON RD, MADISON, WI 53716(608) 260-6000(608) 260-6289 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 8, 2019, Jan 17, 2018, Nov 27, 2015 (3 updates tracked since 2015).

About Nicholas A Hallett M.d. NPPES

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

NICHOLAS A HALLETT M.D. (NPI 1255694790) is an individual pediatrics provider in Madison, Wisconsin, licensed in Wisconsin (67420-20) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of University Of Wisconsin School Of Medicine (2012).

NPPES Registry Identity

NPI1255694790
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameNICHOLAS A HALLETTCredential: M.D.
Location Address1821 S STOUGHTON RDMadison, WI 53716
Mailing Address1821 S Stoughton RdMadison, WI 53716-2257 · (608) 260-6000
Fax(608) 260-6289
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2012
Enumeration DateJune 20, 2012
Last NPPES UpdateFebruary 8, 20193 updates tracked since enumeration
NPI 1255694790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in WI · 67420-20
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1821 S STOUGHTON RD, Madison, WI 53716

Other Identifiers 1

Medicaid1255694790WI

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicholas A Hallett M.d. 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 ID6901113620
PECOS Enrollment IDI20170925001545
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53716 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 20

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

Urology
1821 S STOUGHTON RD
MADISON, WI 53716
Allergy & Immunology
1821 S STOUGHTON RD
MADISON, WI 53716
Family Medicine
1821 S STOUGHTON RD
MADISON, WI 53716
Family Medicine
1821 S STOUGHTON RD
MADISON, WI 53716
Dietitian, Registered
1821 S STOUGHTON RD
MADISON, WI 53716
Family Medicine
1821 S STOUGHTON RD
MADISON, WI 53716
Speech-Language Pathologist
1821 S STOUGHTON RD
MADISON, WI 53716
Emergency Medicine
1821 S STOUGHTON RD, DEAN MEDICAL CENTER
MADISON, WI 53716

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 Hallett's NPI number?

The NPI number for Nicholas Hallett is 1255694790. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Nicholas Hallett located?

Nicholas Hallett practices at 1821 S Stoughton Rd, Madison, WI 53716. The listed phone number is (608) 260-6000.

What is Nicholas Hallett's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Nicholas Hallett enrolled in Medicare?

Yes. Nicholas Hallett 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.

What insurance does Nicholas Hallett accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Nicholas Hallett 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 Nicholas Hallett was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.