NICHOLAS KRIESEL PA-C, ATC
NPI 1649792235
Physician Assistant in Pewaukee, WI

Active since July 14, 2017PECOS EnrolledAccepts Medicare Assignment
N15W28300 GOLF RD, PEWAUKEE, WI 53072(262) 303-5055 Get Directions Write a Review

NPPES record last updated: August 17, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 17, 2022, May 11, 2022, Jul 14, 2017 (3 updates tracked since 2017).

About Nicholas Kriesel Pa-c, Atc NPPES

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

NICHOLAS KRIESEL PA-C, ATC (NPI 1649792235) is an individual physician assistant in Pewaukee, Wisconsin and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1649792235
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameNICHOLAS KRIESELCredential: PA-C, ATC
Location AddressN15W28300 GOLF RDPewaukee, WI 53072-4800
Mailing Address10610 W Rogers StWest Allis, WI 53227-1247 · (414) 530-0928
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 14, 2017
Last NPPES UpdateAugust 17, 20223 updates tracked since enumeration
NPPES CertifiedAugust 17, 2022
NPI 1649792235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License AL4910 (FL)
N15W28300 GOLF RD, Pewaukee, WI 53072

Secondary Practice Location 1

Location 13450 Hull RdGainesville, FL 32607-4144 · Phone (352) 273-7001

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

Nicholas Kriesel Pa-c, Atc 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 ID9638553274
PECOS Enrollment IDI20220831003077
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 5

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Prosthetic repair of shoulder joint, total shoulder 23472
Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.
32 services32 patients
Anchoring of biceps tendon 23430
Anchoring of the biceps tendon is a surgical procedure aimed at restoring stability to your arm. The surgeon secures your biceps tendon to the bone using special anchors, which helps to reduce pain and improve arm function.
23 services23 patients
Revision of total shoulder repair, total shoulder 23474
A revision of total shoulder repair is a procedure performed if an initial shoulder replacement surgery didn't achieve desired results or complications have arisen. The surgeon replaces the previously implanted artificial shoulder joint with a new one, aiming to restore function and relieve pain.
13 services13 patients
Partial removal of collar bone 23120
Partial removal of the collar bone, also known as a clavicle resection, is a procedure performed to reduce pain and improve range of motion in the shoulder. It involves removing a small portion of the clavicle to alleviate pressure on surrounding structures.
12 services12 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53072 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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 20

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

Occupational Therapist
N15W28300 GOLF RD
PEWAUKEE, WI 53072
Physical Therapist
N15W28300 GOLF RD
PEWAUKEE, WI 53072
Clinic/Center (Ambulatory Surgical)
N15W28300 GOLF RD
PEWAUKEE, WI 53072
Orthopaedic Surgery
N15W28300 GOLF RD
PEWAUKEE, WI 53072
Family Medicine (Sports Medicine)
N15W28300 GOLF RD
PEWAUKEE, WI 53072
Anesthesiology
N15W28300 GOLF RD
PEWAUKEE, WI 53072
Orthopaedic Surgery
N15W28300 GOLF RD
PEWAUKEE, WI 53072
Orthopaedic Surgery
N15W28300 GOLF RD
PEWAUKEE, WI 53072

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649792235, enumerated as an "individual" on July 14, 2017.

The provider is located at N15W28300 GOLF RD PEWAUKEE, WI 53072 and the phone number is (262) 303-5055.

Physician Assistant with taxonomy code 363A00000X.

Nicholas Kriesel is affiliated with: WAUKESHA MEMORIAL HOSPITAL and OCONOMOWOC MEMORIAL HOSPITAL.