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NICOLE PRYOR
NPI 1538525308
Counselor - Mental Health in Milwaukee, WI

Active since January 11, 2016PECOS Enrolled
1155 N MAYFAIR RD, MILWAUKEE, WI 53226(414) 955-8900(414) 955-6285 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2022, Dec 20, 2021, Jan 11, 2016 (3 updates tracked since 2016).

About Nicole Pryor NPPES

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

NICOLE PRYOR (NPI 1538525308) is an individual mental health provider in Milwaukee, Wisconsin, licensed in Wisconsin (2779-226) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1538525308
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE PRYOR
Location Address1155 N MAYFAIR RDMilwaukee, WI 53226-3462
Mailing Address1155 N Mayfair RdMilwaukee, WI 53226-3462 · (414) 955-8900 · Fax (414) 955-6285
Phone(414) 955-8900
Fax(414) 955-6285
Sole ProprietorNo
Enumeration DateJanuary 11, 2016
Last NPPES UpdateFebruary 4, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2022
✔ NPI 1538525308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in WI · 2779-226
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 17521-130 (WI)
1155 N MAYFAIR RD, Milwaukee, WI 53226
Open in Google Maps ↗

Secondary Practice Location 1

Location 12522 W Capitol Dr Apt 8Milwaukee, WI 53206-1450 · Phone (414) 445-5404

Other Identifiers 1

Medicaid1538525308WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Pryor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Nicole Pryor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Medical College Of Wisconsin, Inc.
1.3 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101
Froedtert & the Medical College Of Wisconsin Community Physicians, Inc.
9.2 mi
Internal Medicine
W180N8000 TOWN HALL RD
Menomonee Falls, WI 53051
  • Reassigned Medicare billing, Wisconsin enrollment
  • 2,294 clinicians in this Medicare group
NPI 1568787448 (262) 255-2500

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

KEVIN BOZYMSKI PHARMD, BCPS
Pharmacist (Psychiatric)
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8950
STEVEN BONDOW MD
Family Medicine
1155 N MAYFAIR RD, PLANK ROAD CLINIC
MILWAUKEE, WI 53226
Milwaukee County (414) 955-5990
MR. STEVEN C. MAJSTORAVICH PTA
Physical Therapy Assistant
1155 N MAYFAIR RD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-3666
DR. SABINA DIEHR MD
Family Medicine
1155 N MAYFAIR RD, PLANK ROAD CLINIC
MILWAUKEE, WI 53226
Milwaukee County (414) 955-5990
DR. CHRISTOPHER E WOLFLA MD
Neurological Surgery
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226
Milwaukee County (414) 805-9255
DR. PHILIP A NELSON MD
Physical Medicine & Rehabilitation
1155 N MAYFAIR RD, SPINE CARE CLINIC AT PLANK ROAD
MILWAUKEE, WI 53226
Milwaukee County (414) 456-7199
DR. MICHAEL DIMARCO JR. PSY.D.
Psychologist (Clinical)
1155 N MAYFAIR RD, THIRD FLOOR
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8900
MR. JOSEPH S. GOVEAS M.D.
Psychiatry & Neurology (Psychiatry)
1155 N MAYFAIR RD, DEPARTMENT OF PSYCHIATRY
MILWAUKEE, WI 53226
Milwaukee County (414) 955-8900

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 Pryor's NPI number?

The NPI number for Nicole Pryor is 1538525308. It was assigned to this individual provider in the NPPES registry on January 11, 2016.

Where is Nicole Pryor located?

Nicole Pryor practices at 1155 N Mayfair Rd, Milwaukee, WI 53226. The listed phone number is (414) 955-8900.

What is Nicole Pryor's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Pryor enrolled in Medicare?

Yes. Nicole Pryor is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Pryor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Pryor reassigns Medicare benefits to 2 organizations: The Medical College Of Wisconsin, Inc. (Milwaukee, WI) and Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, 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 Nicole Pryor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Pryor accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Network Health list Nicole Pryor 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 Pryor was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.