NICOLA M. CHARLTON M.D.
NPI 1326050436
Family Medicine in Mequon, WI
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
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
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.
Medicare Billing Reassignments
3Medicare enrollment records show Nicola Charlton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53209
- Reassigned Medicare billing, Wisconsin enrollment
- 1,615 clinicians in this Medicare group
West Allis, WI 53227
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
Saint Francis, WI 53235
- Reassigned Medicare billing, Wisconsin enrollment
- 960 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.
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.
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.
Which organizations bill Medicare for Nicola Charlton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicola Charlton reassigns Medicare benefits to 3 organizations: Aurora Advanced Healthcare, Inc. (Milwaukee, WI), Aurora Medical Group, Inc. (West Allis, WI) and Lakeshore Medical Clinic, LLC (Saint Francis, 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 Nicola Charlton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Nicola M. Charlton, M.D. · NPI 1326050436
Family Medicine physician in Mequon, Wisconsin. Individual provider, active in the CMS NPPES registry since August 13, 2006.
## Identity
- **NPI:** 1326050436 (Entity type: Individual)
- **Enumerated:** August 13, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 35878 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 11221 N PARKVIEW DR, Mequon, WI 53092-1923
- **Phone:** (414) 630-6308
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Aurora Advanced Healthcare, Inc. (NPI 1265629133, Milwaukee, WI); Aurora Medical Group, Inc. (NPI 1457592735, West Allis, WI); Lakeshore Medical Clinic, LLC (NPI 1003861188, Saint Francis, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** R Franklin University Of Med & Sci/chicago Medical School, class of 1989
## Record status
- **NPPES last updated:** June 5, 2025
- **Other identifiers:** Medicaid 32100700 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1326050436) · Data from the CMS NPPES public registry.