MRS. NICOLE ANN KAKUK APRN
NPI 1790220044
Nurse Practitioner in Manitowoc, WI

Q: What is Nicole Kakuk's NPI number?

The NPI number for Nicole Kakuk is 1790220044. It was assigned to this individual provider in the NPPES registry on December 22, 2016.

Q: What is Nicole Kakuk's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Kakuk was last updated on June 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 December 22, 2016PECOS EnrolledAccepts Medicare Assignment

2300 WESTERN AVE, MANITOWOC, WI 54220(920) 320-2011 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 7, 2024, Nov 21, 2022, Jan 12, 2017 and 1 more (4 updates tracked since 2016).

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About Mrs. Nicole Ann Kakuk Aprn NPPES

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

MRS. NICOLE ANN KAKUK APRN (NPI 1790220044) is an individual nurse practitioner in Manitowoc, Wisconsin, licensed in Wisconsin (12223-33) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with Holy Family Memorial, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1790220044

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. NICOLE ANN KAKUKCredential: APRN

Location Address2300 WESTERN AVEManitowoc, WI 54220-3712

Mailing Address2300 Western AveManitowoc, WI 54220-3712 · (920) 320-2011

Phone(920) 320-2011

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateDecember 22, 2016

Last NPPES UpdateJune 7, 20244 updates tracked since enumeration

NPPES CertifiedDecember 11, 2023

✔ NPI 1790220044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 12223-33

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 232814 - 30 (WI)

Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 319942 (WI)

2300 WESTERN AVE, Manitowoc, WI 54220

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan.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

Mrs. Nicole Ann Kakuk Aprn 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 ID3072969237

PECOS Enrollment IDI20231024001595

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 Reassignment

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

Froedtert Manitowoc Medical Group, LLC

Same address

Multi-Specialty

2300 WESTERN AVE
Manitowoc, WI 54220

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

NPI 1437829975 (920) 320-2436

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

Areas of Expertise CMS Part B claims 3

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.

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.

151 services41 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

84 services26 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

73 services25 patients

Hospital Affiliations CMS Care Compare

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

Holy Family Memorial

Acute Care Hospitals · Manitowoc, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number520107

Location2300 Western AveManitowoc, WI 54221 · Manitowoc County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54220 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.

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.

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