MARIAH M COLLICOTT NP
NPI 1568185403
Nurse Practitioner - Family in Waukesha, WI

Active since September 26, 2022PECOS EnrolledAccepts Medicare Assignment
20611 WATERTOWN RD STE E, WAUKESHA, WI 53186(629) 014-4502(262) 901-4451 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2025, Dec 5, 2022, Sep 26, 2022 (3 updates tracked since 2022).

About Mariah M Collicott Np NPPES

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

MARIAH M COLLICOTT NP (NPI 1568185403) is an individual family provider in Waukesha, Wisconsin, licensed in Wisconsin (13169-33) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Slinger, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1568185403
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARIAH M COLLICOTTCredential: NP
Location Address20611 WATERTOWN RD STE EWaukesha, WI 53186-1871
Mailing Address20611 Watertown Rd Ste EWaukesha, WI 53186-1871 · (629) 014-4502
Fax(262) 901-4451
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 26, 2022
Last NPPES UpdateAugust 5, 20253 updates tracked since enumeration
NPPES CertifiedAugust 5, 2025
NPI 1568185403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 13169-33
Also ListedNurse PractitionerTaxonomy 363L00000X · License 13169-33 (WI)
20611 WATERTOWN RD STE E, Waukesha, WI 53186

Secondary Practice Location 1

Location 11061 E Commerce BlvdSlinger, WI 53086-9326 · Phone (262) 644-2900

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

Mariah M Collicott 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 ID2264808047
PECOS Enrollment IDI20221019001536
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 2

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.
28 services23 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.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53186 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
20611 WATERTOWN RD STE E
WAUKESHA, WI 53186
Physician Assistant
20611 WATERTOWN RD STE E
WAUKESHA, WI 53186

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 Mariah Collicott's NPI number?

The NPI number for Mariah Collicott is 1568185403. It was assigned to this individual provider in the NPPES registry on September 26, 2022.

Where is Mariah Collicott located?

Mariah Collicott practices at 20611 Watertown Rd Ste E, Waukesha, WI 53186. The listed phone number is (629) 014-4502.

What is Mariah Collicott's specialty?

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

Is Mariah Collicott enrolled in Medicare?

Yes. Mariah Collicott 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 Mariah Collicott accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica, MercyCare Health Plans and Network Health and 1 other insurer list Mariah Collicott 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 Mariah Collicott was last updated on August 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.