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NIKOLE HENTHORN NP
NPI 1528035219
Nurse Practitioner - Family in Milwaukee, WI

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
2801 W KINNICKINNIC RIVER PKWY STE 1080, MILWAUKEE, WI 53215(414) 908-6500(414) 908-6510 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2026, Oct 25, 2020 (2 updates tracked since 2020).

About Nikole Henthorn Np NPPES

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

NIKOLE HENTHORN NP (NPI 1528035219) is an individual family provider in Milwaukee, Wisconsin, licensed in Wisconsin (1809-33) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1528035219
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNIKOLE HENTHORNCredential: NP
Location Address2801 W KINNICKINNIC RIVER PKWY STE 1080Milwaukee, WI 53215-3689
Mailing Address2801 W Kinnickinnic River Pkwy Ste 1080Milwaukee, WI 53215-3689 · (414) 908-6506 · Fax (414) 908-6510
Phone(414) 908-6500
Fax(414) 908-6510
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 2, 2006
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1528035219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 1809-33
2801 W KINNICKINNIC RIVER PKWY STE 1080, Milwaukee, WI 53215
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health and more.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

Nikole Henthorn Np 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 ID3971679168
PECOS Enrollment IDI20080912000213
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 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.
38 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53215 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

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.

MRS. NICOLE THERESA WHITE APNP
Nurse Practitioner (Family)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Milwaukee County (414) 908-6601
MONGTUYEN NGUYEN-HOYE PA
Physician Assistant
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Milwaukee County (414) 908-6500
DAVID A. CARRON MD
Internal Medicine (Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Milwaukee County (414) 908-6506
NATHANIEL TIMOTHY JEST D.O.
Internal Medicine (Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Milwaukee County (414) 908-6506
DR. JAMES T KWIATT M.D.
Internal Medicine (Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Milwaukee County (414) 908-6506
DR. ALAN N MAYER MD
Pediatrics (Pediatric Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Milwaukee County (414) 908-6506
DANIEL J GEENEN M.D.
Internal Medicine (Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Milwaukee County (414) 908-6615
ADAM VAN HUIS
Internal Medicine (Gastroenterology)
2801 W KINNICKINNIC RIVER PKWY STE 1080
MILWAUKEE, WI 53215
Milwaukee County (414) 908-6506

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 Nikole Henthorn's NPI number?

The NPI number for Nikole Henthorn is 1528035219. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Nikole Henthorn located?

Nikole Henthorn practices at 2801 W Kinnickinnic River Pkwy Ste 1080, Milwaukee, WI 53215. The listed phone number is (414) 908-6500.

What is Nikole Henthorn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nikole Henthorn enrolled in Medicare?

Yes. Nikole Henthorn 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 Nikole Henthorn accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Network Health, Quartz and UnitedHealthcare list Nikole Henthorn 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 Nikole Henthorn affiliated with any hospitals?

According to CMS data, Nikole Henthorn is affiliated with Ascension All Saints Hospital, Ascension SE Wisconsin Hospital and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Nikole Henthorn was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.