DR. KAREN FICKEL MD
NPI 1336190255
Internal Medicine in Milwaukee, WI

Active since May 15, 2006PECOS EnrolledAccepts Medicare Assignment
840 N 87TH ST, SARGEANT HEALTH CENTER, MILWAUKEE, WI 53226(414) 805-5540(414) 805-7878 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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

NPI1336190255
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KAREN FICKELCredential: MD
Location Address840 N 87TH ST, SARGEANT HEALTH CENTERMilwaukee, WI 53226-3586
Mailing Address840 N 87th St, Sargeant Health CenterMilwaukee, WI 53226-3586 · (414) 805-5540 · Fax (414) 805-7878
Fax(414) 805-7878
Sole ProprietorNo
Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 1998
Enumeration DateMay 15, 2006
Last NPPES UpdateDecember 19, 2012
NPI 1336190255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 41543
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
840 N 87TH ST, Milwaukee, WI 53226

Other Identifiers 4

Medicaid1336190255WI
Other007006261IHumana
Medicare PIN022M 73-601WI
Medicare UPINH34974

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

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.

PECOS PAC ID5395778161
PECOS Enrollment IDI20050913000322
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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
387 services184 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
144 services144 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
40 services40 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
40 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
28 services24 patients
Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
13 services13 patients

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, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520107
Location2300 Western AveManitowoc, WI 54221 · Manitowoc County
Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician 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.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims35 services$4.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiology
840 N 87TH ST
MILWAUKEE, WI 53226
Internal Medicine
840 N 87TH ST, SARGEANT HEALTH CENTER
MILWAUKEE, WI 53226
Pharmacist
840 N 87TH ST
MILWAUKEE, WI 53226
Physician Assistant
840 N 87TH ST
MILWAUKEE, WI 53226
Dentist (Oral and Maxillofacial Surgery)
840 N 87TH ST
MILWAUKEE, WI 53226
Dentist (General Practice)
840 N 87TH ST, SARGEANT HEALTH CENTER
MILWAUKEE, WI 53226
Physician Assistant (Medical)
840 N 87TH ST
MILWAUKEE, WI 53226
Internal Medicine
840 N 87TH ST, SARGEANT HEALTH CENTER
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.

What insurance does Karen Fickel accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan 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 with the weekly NPPES data releases published by CMS.