NICOLE A MENTINK OTR/L
NPI 1770236457
Occupational Therapist in Sheboygan, WI

Active since February 01, 2022Accepts Medicare Assignment
3400 UNION AVE, SHEBOYGAN, WI 53081(920) 828-2700 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2026, Apr 2, 2025, Jun 10, 2022 and 1 more (4 updates tracked since 2022).

About Nicole A Mentink Otr/l NPPES

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

NICOLE A MENTINK OTR/L (NPI 1770236457) is an individual occupational therapist in Sheboygan, Wisconsin, licensed in Wisconsin (7049-26) and active in the NPI registry since February 2022. She maintains 2 additional practice locations and is a graduate of Other (2021).

NPPES Registry Identity

NPI1770236457
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameNICOLE A MENTINKCredential: OTR/L
Location Address3400 UNION AVESheboygan, WI 53081-8426
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 1, 2022
Last NPPES UpdateFebruary 4, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2026
✔ NPI 1770236457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in WI · 7049-26
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
3400 UNION AVE, Sheboygan, WI 53081

Other Names 1

Former Name (1)Nicole A Veldhorst Otr/l

Secondary Practice Locations 2

Location 12629 N 7th StSheboygan, WI 53083-4932 · Phone (920) 451-5550
Location 22414 Kohler Memorial DrSheboygan, WI 53081-3129 · Phone (920) 457-4461

Other Identifiers 1

Medicaid100197279WI

Accepted 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 Mentink Otr/l 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 ID2567840507
PECOS Enrollment IDI20220603002007

Medicare Billing Reassignment

Medicare enrollment records show Nicole Mentink reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group

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

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
3400 UNION AVE
SHEBOYGAN, WI 53081
Nurse Anesthetist, Certified Registered
3400 UNION AVE
SHEBOYGAN, WI 53081
Obstetrics & Gynecology
3400 UNION AVE
SHEBOYGAN, WI 53081
Internal Medicine (Pulmonary Disease)
3400 UNION AVE
SHEBOYGAN, WI 53081
Nurse Practitioner (Family)
3400 UNION AVE
SHEBOYGAN, WI 53081
Physician Assistant
3400 UNION AVE
SHEBOYGAN, WI 53081
Hospitalist
3400 UNION AVE
SHEBOYGAN, WI 53081
Hospitalist
3400 UNION AVE
SHEBOYGAN, WI 53081

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 Mentink's NPI number?

The NPI number for Nicole Mentink is 1770236457. It was assigned to this individual provider in the NPPES registry on February 1, 2022. The provider is also known as Nicole A Veldhorst Otr/L.

Where is Nicole Mentink located?

Nicole Mentink practices at 3400 Union Ave, Sheboygan, WI 53081. The listed phone number is (920) 828-2700.

What is Nicole Mentink's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Nicole Mentink enrolled in Medicare?

Yes. Nicole Mentink 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.

Which organization bills Medicare for Nicole Mentink's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Mentink reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Mentink's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Mentink accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and Quartz list Nicole Mentink 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 Mentink was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.