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NICOLE DENAE BENJAMIN REDDICK PA-C
NPI 1659383040
Physician Assistant in Neenah, WI

Active since August 13, 2006PECOS EnrolledAccepts Medicare Assignment
100 THEDA CLARK MEDICAL PLZ STE 340, NEENAH, WI 54956(920) 364-3600(920) 364-3900 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2024, Mar 4, 2022 (2 updates tracked since 2022).

About Nicole Denae Benjamin Reddick Pa-c NPPES

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

NICOLE DENAE BENJAMIN REDDICK PA-C (NPI 1659383040) is an individual physician assistant in Neenah, Wisconsin, licensed in Wisconsin (2729) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1659383040
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE DENAE BENJAMIN REDDICKCredential: PA-C
Location Address100 THEDA CLARK MEDICAL PLZ STE 340Neenah, WI 54956-2763
Mailing Address100 Theda Clark Medical Plz Ste 340Neenah, WI 54956-2763 · (920) 364-3600 · Fax (920) 364-3900
Phone(920) 364-3600
Fax(920) 364-3900
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateAugust 13, 2006
Last NPPES UpdateAugust 12, 20242 updates tracked since enumeration
NPPES CertifiedAugust 12, 2024
✔ NPI 1659383040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WI · 2729✔ Licensed in TX · PA04542
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.
100 THEDA CLARK MEDICAL PLZ STE 340, Neenah, WI 54956
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Other Names 1

Former Name (1)Nicole Denae Benjamin

Secondary Practice Locations 2

Location 15323 Harry Hines BoulevardDallas, TX 75390-7201 · Phone (214) 645-8000 · Fax (214) 645-7269
Location 2491 S Washburn St Ste 100Oshkosh, WI 54904-6733 · Phone (920) 364-3600 · Fax (920) 364-3900

Other Identifiers 1

Other8Y0227TX · Bcbs

Accepted Insurance

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

Nicole Denae Benjamin Reddick Pa-c 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 ID749214559
PECOS Enrollment IDI20110617000616
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 4

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
119 services32 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
27 services27 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
27 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
26 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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.

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 Benjamin Reddick's NPI number?

The NPI number for Nicole Benjamin Reddick is 1659383040. It was assigned to this individual provider in the NPPES registry on August 13, 2006. The provider is also known as Nicole Denae Benjamin.

Where is Nicole Benjamin Reddick located?

Nicole Benjamin Reddick practices at 100 Theda Clark Medical Plz Ste 340, Neenah, WI 54956. The listed phone number is (920) 364-3600.

What is Nicole Benjamin Reddick's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Benjamin Reddick enrolled in Medicare?

Yes. Nicole Benjamin Reddick 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 Benjamin Reddick accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health list Nicole Benjamin Reddick 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 Benjamin Reddick was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.