Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE R PETERSON LPC
NPI 1578013702
Counselor - Mental Health in Oshkosh, WI

Active since October 12, 2016PECOS EnrolledAccepts Medicare Assignment
414 DOCTORS CT, OSHKOSH, WI 54901(920) 303-5100 Get Directions Write a Review

NPPES record last updated: September 10, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 10, 2026, Feb 17, 2025, Jul 25, 2023 and 1 more (4 updates tracked since 2016).

About Nicole R Peterson Lpc NPPES

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

NICOLE R PETERSON LPC (NPI 1578013702) is an individual mental health provider in Oshkosh, Wisconsin, licensed in Wisconsin (6818-125) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Madison, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1578013702
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE R PETERSONCredential: LPC
Location Address414 DOCTORS CTOshkosh, WI 54901-2065
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (920) 303-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 12, 2016
Last NPPES UpdateSeptember 10, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2026
✔ NPI 1578013702 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 · 6818-125
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6818-125 (WI)
414 DOCTORS CT, Oshkosh, WI 54901

Other Names 1

Former Name (1)Nicole R Wendt Lpc

Secondary Practice Location 1

Location 11423 S Park StMadison, WI 53715-2105 · Phone (608) 280-2700

Other Identifiers 1

Medicaid100061418WI

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 R Peterson Lpc 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 ID2567813058
PECOS Enrollment IDI20240109003084
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.

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.

Nurse Practitioner
414 DOCTORS CT
OSHKOSH, WI 54901
Family Medicine
414 DOCTORS CT
OSHKOSH, WI 54901
Psychologist (Clinical)
414 DOCTORS CT
OSHKOSH, WI 54901
Pharmacy
414 DOCTORS CT, SUITE 100
OSHKOSH, WI 54901
Obstetrics & Gynecology
414 DOCTORS CT
OSHKOSH, WI 54901
Family Medicine
414 DOCTORS CT
OSHKOSH, WI 54901
Durable Medical Equipment & Medical Supplies
414 DOCTORS CT
OSHKOSH, WI 54901
Social Worker (Clinical)
414 DOCTORS CT
OSHKOSH, WI 54901

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 Peterson's NPI number?

The NPI number for Nicole Peterson is 1578013702. It was assigned to this individual provider in the NPPES registry on October 12, 2016. The provider is also known as Nicole R Wendt Lpc.

Where is Nicole Peterson located?

Nicole Peterson practices at 414 Doctors Ct, Oshkosh, WI 54901. The listed phone number is (920) 303-5100.

What is Nicole Peterson's specialty?

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

Is Nicole Peterson enrolled in Medicare?

Yes. Nicole Peterson 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 Peterson accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica, Quartz and UnitedHealthcare list Nicole Peterson 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 Peterson was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.