NICOLE WILDEMAN
NPI 1417605833
Counselor - Professional in Fenton, MI
About Nicole Wildeman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE WILDEMAN (NPI 1417605833) is an individual professional provider in Fenton, Michigan, licensed in Michigan (6401222623) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses 2
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
Nicole Wildeman 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.
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 Nicole Wildeman's NPI number?
The NPI number for Nicole Wildeman is 1417605833. It was assigned to this individual provider in the NPPES registry on March 15, 2022.
Where is Nicole Wildeman located?
Nicole Wildeman practices at 14229 Torrey Rd # 3, Fenton, MI 48430. The listed phone number is (810) 214-2624.
What is Nicole Wildeman's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Nicole Wildeman enrolled in Medicare?
Yes. Nicole Wildeman 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 Nicole Wildeman accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health and UnitedHealthcare list Nicole Wildeman 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 Nicole Wildeman was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nicole Wildeman · NPI 1417605833
Professional provider in Fenton, Michigan. Individual provider, active in the CMS NPPES registry since March 15, 2022.
## Identity
- **NPI:** 1417605833 (Entity type: Individual)
- **Enumerated:** March 15, 2022
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 6401222623 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 14229 TORREY RD # 3, Fenton, MI 48430-3308
- **Phone:** (810) 214-2624
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** April 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1417605833) · Data from the CMS NPPES public registry.