NICOLE KULWICKI NP-C
NPI 1730583113
Nurse Practitioner - Family in Phillips, WI

Active since October 14, 2014Opted out of Medicare · through Jun 17, 2028
1300 N AIRPORT RD, PHILLIPS, WI 54555(920) 496-4700 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Kulwicki Np-c NPPES

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

NICOLE KULWICKI NP-C (NPI 1730583113) is an individual family provider in Phillips, Wisconsin, licensed in Wisconsin (6063) and active in the NPI registry since October 2014. She has opted out of Medicare through June 17, 2028 and remains eligible to order and refer and maintains a secondary practice location in Greenfield.

NPPES Registry Identity

NPI1730583113
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE KULWICKICredential: NP-C
Location Address1300 N AIRPORT RDPhillips, WI 54555-1527
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Sole ProprietorNo
Enumeration DateOctober 14, 2014
Last NPPES UpdateAugust 6, 2021
NPPES CertifiedAugust 6, 2021
NPI 1730583113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in WI · 6063 Licensed in WI · 144922
1300 N AIRPORT RD, Phillips, WI 54555

Secondary Practice Location 1

Location 16901 W Edgerton AveGreenfield, WI 53220-4420 · Phone (414) 427-8400

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Nicole Kulwicki Np-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 17, 2024 through June 17, 2028.

Opt-Out Effective DateJune 17, 2024
Opt-Out In Effect ThroughJune 17, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54555 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier13 claims13 services$3.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Chiropractor
1300 N AIRPORT RD
PHILLIPS, WI 54555
Clinic/Center
1300 N AIRPORT RD
PHILLIPS, WI 54555

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 Kulwicki's NPI number?

The NPI number for Nicole Kulwicki is 1730583113. It was assigned to this individual provider in the NPPES registry on October 14, 2014.

Where is Nicole Kulwicki located?

Nicole Kulwicki practices at 1300 N Airport Rd, Phillips, WI 54555. The listed phone number is (920) 496-4700.

What is Nicole Kulwicki's specialty?

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

Is Nicole Kulwicki enrolled in Medicare?

No. Nicole Kulwicki has opted out of Medicare through June 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Nicole Kulwicki was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.