NICOLE A HINIKER MD
NPI 1740277151
Internal Medicine in Marinette, WI

Q: What is Nicole Hiniker's NPI number?

The NPI number for Nicole Hiniker is 1740277151. It was assigned to this individual provider in the NPPES registry on September 30, 2005. The provider is also known as Nicole A Leow MD.

Q: What is Nicole Hiniker's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Hiniker was last updated on November 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since September 30, 2005PECOS EnrolledAccepts Medicare Assignment

2820 ROOSEVELT ROAD, MARINETTE, WI 54143(715) 735-5225(715) 735-5388 Get Directions Write a Review

NPPES record last updated: November 1, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nicole A Hiniker Md NPPES

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

NICOLE A HINIKER MD (NPI 1740277151) is an individual internal medicine provider in Marinette, Wisconsin, licensed in Wisconsin (40420020) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (1995).

NPPES Registry Identity

NPI1740277151

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameNICOLE A HINIKERCredential: MD

Location Address2820 ROOSEVELT ROADMarinette, WI 54143-3834

Mailing AddressPo Box 1866Green Bay, WI 54305-1866 · (920) 445-7222 · Fax (920) 445-7289

Phone(715) 735-5225

Fax(715) 735-5388

Sole ProprietorNo

Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1995

Enumeration DateSeptember 30, 2005

Last NPPES UpdateNovember 1, 2016

✔ NPI 1740277151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WI · 40420020

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2820 ROOSEVELT ROAD, Marinette, WI 54143

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Other Names 1

Former Name (1)Nicole A Leow Md

Other Identifiers 5

Medicare OSCAR/certification110221392WI

Medicare OSCAR/certification401600003WI

Medicaid1740277151WI

Medicaid324000400WI

Medicare UPING79038

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole A Hiniker Md 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 ID5698848075

PECOS Enrollment IDI20080717000546

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.

Medicare Billing Reassignments

Medicare enrollment records show Nicole Hiniker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oconto Hospital & Medical Center Inc

0.2 mi

Rural Health

2820 ROOSEVELT ROAD
Marinette, WI 54143

Reassigned Medicare billing, Wisconsin enrollment
573 clinicians in this Medicare group

NPI 1528412673 (920) 445-7226

Bellin Memorial Hospital Inc

1.4 mi

Physical Medicine & Rehabilitation

3905 HALL AVE
Marinette, WI 54143

Reassigned Medicare billing, Wisconsin enrollment
875 clinicians in this Medicare group

NPI 1285696823 (920) 445-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54143 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

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

6 suppliers24 claims49 services$5.08 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers12 claims12 services$0.98 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier11 claims11 services$56.07 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier20 claims20 services$106.38 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 7

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

JAMES W OPOIEN MD PHD

Family Medicine