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NICOLE RIVECCA PA-C
NPI 1306096532
Physician Assistant - Medical in Oak Creek, WI

Active since September 24, 2008
200 E RYAN RD, SUITE 101, OAK CREEK, WI 53154(414) 768-0940 Get Directions Write a Review

NPPES record last updated: November 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Rivecca Pa-c NPPES

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

NICOLE RIVECCA PA-C (NPI 1306096532) is an individual medical provider in Oak Creek, Wisconsin, licensed in Wisconsin (2337023) and active in the NPI registry since September 2008.

NPPES Registry Identity

NPI1306096532
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE RIVECCACredential: PA-C
Location Address200 E RYAN RD, SUITE 101Oak Creek, WI 53154-4533
Mailing Address200 E Ryan Rd, Suite 101Oak Creek, WI 53154-4533 · (414) 768-0940
Phone(414) 768-0940
Sole ProprietorNo
Enumeration DateSeptember 24, 2008
Last NPPES UpdateNovember 17, 2008
✔ NPI 1306096532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WI · 2337023
200 E RYAN RD, Oak Creek, WI 53154
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Other Names 1

Former Name (1)Nicole Bradley Pa-c

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.

KELSEY KUJELLIS PA
Physician Assistant
200 E RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590
GREGG E TETTING MD
Pediatrics
200 E RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590
SHEREEN MOHIS M.D.
Family Medicine
200 E RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590
DR. AGNES PROSPERE MD
Family Medicine
200 E RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590
WENDI A QUENTIN PT
Physical Therapist
200 E RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590
EMILY RUTH JAEGER MD
Psychiatry & Neurology (Neurology)
200 E RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590
DR. NABILA QUADRI M.D.
Emergency Medicine
200 E RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590
HUI ZHANG
Orthopaedic Surgery (Foot and Ankle Surgery)
200 E RYAN RD
OAK CREEK, WI 53154
Milwaukee County (414) 570-3590

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 Rivecca's NPI number?

The NPI number for Nicole Rivecca is 1306096532. It was assigned to this individual provider in the NPPES registry on September 24, 2008. The provider is also known as Nicole Bradley Pa-C.

Where is Nicole Rivecca located?

Nicole Rivecca practices at 200 E Ryan Rd Suite 101, Oak Creek, WI 53154. The listed phone number is (414) 768-0940.

What is Nicole Rivecca's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Nicole Rivecca was last updated on November 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.