DR. KAREN FICKEL MD
NPI 1336190255
Internal Medicine in Milwaukee, WI
About Dr. Karen Fickel Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KAREN FICKEL MD (NPI 1336190255) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (41543) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Holy Family Memorial, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (1998).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
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
Dr. Karen Fickel Md 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 Karen Fickel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 clinicians in this Medicare group
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 2,294 clinicians in this Medicare group
Manitowoc, WI 54220
- Reassigned Medicare billing, Wisconsin enrollment
- 350 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 7
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Holy Family Memorial
Acute Care Hospitals · Manitowoc, WIFroedtert Memorial Lutheran Hospital
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
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 Karen Fickel's NPI number?
The NPI number for Karen Fickel is 1336190255. It was assigned to this individual provider in the NPPES registry on May 15, 2006.
Where is Karen Fickel located?
Karen Fickel practices at 840 N 87th St Sargeant Health Center, Milwaukee, WI 53226. The listed phone number is (414) 805-5540.
What is Karen Fickel's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Karen Fickel enrolled in Medicare?
Yes. Karen Fickel 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 Karen Fickel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Karen Fickel reassigns Medicare benefits to 3 organizations: The Medical College Of Wisconsin, Inc. (Milwaukee, WI), Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI) and Froedtert Manitowoc Medical Group, LLC (Manitowoc, 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 Karen Fickel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Karen Fickel accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Dean Health Plan, HealthPartners and Network Health list Karen Fickel 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.
Is Karen Fickel affiliated with any hospitals?
According to CMS data, Karen Fickel is affiliated with Holy Family Memorial and Froedtert Memorial Lutheran Hospital.
When was this NPI record last updated?
The NPPES record for Karen Fickel was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.