NICOLA M. CHARLTON M.D. - NPI 1326050436 - Family Medicine in Mequon, WI

Q: What is Nicola Charlton's NPI number?

The NPI number for Nicola Charlton is 1326050436. It was assigned to this individual provider in the NPPES registry on August 13, 2006. The provider is also known as Nicola M. Charlton M.D..

Q: What is Nicola Charlton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicola Charlton was last updated on June 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Nicola M. Charlton M.d. NPPES

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

NICOLA M. CHARLTON M.D. (NPI 1326050436) is an individual family medicine provider in Mequon, Wisconsin, licensed in Wisconsin (35878) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of R Franklin University Of Med & Sci/chicago Medical School (1989).

NPPES Registry Identity

NPI1326050436

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNICOLA M. CHARLTONCredential: M.D.

Location Address11221 N PARKVIEW DRMequon, WI 53092-1923

Mailing Address11221 N Parkview DrMequon, WI 53092-1923 · (414) 630-6308

Phone(414) 630-6308

Sole ProprietorNo

Medical School CMSR Franklin University Of Med & Sci/chicago Medical SchoolGraduated 1989

Enumeration DateAugust 13, 2006

Last NPPES UpdateJune 5, 20252 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1326050436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WI · 35878

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11221 N PARKVIEW DR, Mequon, WI 53092

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Other Names 1

Professional Name (2)Nicola M. Charlton M.d.

Other Identifiers 1

Medicaid32100700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), UnitedHealthcare.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

Nicola M. Charlton 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 ID7810211463

PECOS Enrollment IDI20150130001135

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.

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 53092 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.

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 Nicola Charlton's NPI number?

The NPI number for Nicola Charlton is 1326050436. It was assigned to this individual provider in the NPPES registry on August 13, 2006. The provider is also known as Nicola M. Charlton M.D..

Where is Nicola Charlton located?

Nicola Charlton practices at 11221 N Parkview Dr, Mequon, WI 53092. The listed phone number is (414) 630-6308.

What is Nicola Charlton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicola Charlton enrolled in Medicare?

Yes. Nicola Charlton 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 Nicola Charlton accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Nicola Charlton 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 Nicola Charlton was last updated on June 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.