NICOLE M WIEMAN FNP-BC
NPI 1417371758
Nurse Practitioner in Janesville, WI

Q: What is Nicole Wieman's NPI number?

The NPI number for Nicole Wieman is 1417371758. It was assigned to this individual provider in the NPPES registry on February 6, 2014.

Q: What is Nicole Wieman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Wieman was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since February 06, 2014PECOS EnrolledAccepts Medicare Assignment

3200 E RACINE ST, JANESVILLE, WI 53546(608) 371-8000(608) 371-8006 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 9, 2025, Dec 21, 2020, Jun 14, 2019 and 1 more (4 updates tracked since 2019).

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About Nicole M Wieman Fnp-bc NPPES

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

NICOLE M WIEMAN FNP-BC (NPI 1417371758) is an individual nurse practitioner in Janesville, Wisconsin, licensed in Wisconsin (6399-33) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital - Janesville, and maintains a secondary practice location in Monroe.

NPPES Registry Identity

NPI1417371758

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameNICOLE M WIEMANCredential: FNP-BC

Location Address3200 E RACINE STJanesville, WI 53546-2343

Mailing Address3200 E Racine StJanesville, WI 53546-2343 · (608) 371-8000 · Fax (608) 371-8006

Phone(608) 371-8000

Fax(608) 371-8006

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateFebruary 6, 2014

Last NPPES UpdateJune 9, 20254 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1417371758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 6399-33

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

3200 E RACINE ST, Janesville, WI 53546

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Secondary Practice Location 1

Location 1515 22nd AveMonroe, WI 53566-1569 · Phone (608) 324-1000

Other Identifiers 1

Medicaid1417371758WI

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

Nicole M Wieman Fnp-bc 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 ID5092944926

PECOS Enrollment IDI20190507000106

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 3

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.

61 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.

51 services24 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

38 services34 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ssm Health St Mary's Hospital - Janesville

Acute Care Hospitals · Janesville, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520208

Location3400 East Racine StreetJanesville, WI 53546 · Rock County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53546 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.

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.

BRITTANY M. AUSTIN PA-C

Physician Assistant (Medical)