NICOLE DANNENBERG
NPI 1902375470
Anesthesiologist Assistant in Milwaukee, WI

Q: What is Nicole Dannenberg's NPI number?

The NPI number for Nicole Dannenberg is 1902375470. It was assigned to this individual provider in the NPPES registry on November 14, 2018.

Q: What is Nicole Dannenberg's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Dannenberg was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since November 14, 2018

9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-8700(414) 259-1522 Get Directions Write a Review

NPPES record last updated: December 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 17, 2025, Jan 28, 2019, Nov 14, 2018 (3 updates tracked since 2018).

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About Nicole Dannenberg NPPES

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

NICOLE DANNENBERG (NPI 1902375470) is an individual anesthesiologist assistant in Milwaukee, Wisconsin, licensed in Wisconsin (125) and active in the NPI registry since November 2018. She maintains a secondary practice location in Milwaukee.

NPPES Registry Identity

NPI1902375470

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameNICOLE DANNENBERG

Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226

Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 805-8700 · Fax (414) 259-1522

Phone(414) 805-8700

Fax(414) 259-1522

Sole ProprietorNo

Enumeration DateNovember 14, 2018

Last NPPES UpdateDecember 17, 20253 updates tracked since enumeration

NPPES CertifiedDecember 17, 2025

✔ NPI 1902375470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in WI · 125

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

9200 W WISCONSIN AVE, Milwaukee, WI 53226

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Secondary Practice Location 1

Location 18701 W Watertown Plank RdMilwaukee, WI 53226-3548 · Phone (414) 955-8296

Other Identifiers 1

Medicaid1902375470WI

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Dannenberg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

The Medical College Of Wisconsin, Inc.

0.5 mi

Internal Medicine

8701 WATERTOWN PLANK RD
Milwaukee, WI 53226

Reassigned Medicare billing, Wisconsin enrollment
3,983 clinicians in this Medicare group

NPI 1699720086 (414) 955-7101

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.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM

Advanced Practice Midwife

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-4777

DR. ZACHARY SMITH DO

Internal Medicine (Gastroenterology)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-6830

DR. COLLEEN ANN CROWE M.D., M.P.H.

Emergency Medicine

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6469

ROBERTO MEJIAS APNP

Nurse Practitioner (Pediatrics)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6600

MRS. ANNE E B LAKATOS APN-BC, APNP, RN

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

MRS. AMANDA M MANDERS APNP

Nurse Practitioner (Adult Health)

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-6850

KATHLEEN A WATERHOUSE-SKIBICKI CRNA

Nurse Anesthetist, Certified Registered

9200 W WISCONSIN AVE
MILWAUKEE, WI 53226

Milwaukee County (414) 805-5951

ANDREA L BEQUEST PA

Physician Assistant (Medical)

9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

Milwaukee County (414) 955-0350

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 Dannenberg's NPI number?

The NPI number for Nicole Dannenberg is 1902375470. It was assigned to this individual provider in the NPPES registry on November 14, 2018.

Where is Nicole Dannenberg located?

Nicole Dannenberg practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-8700.

What is Nicole Dannenberg's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Nicole Dannenberg enrolled in Medicare?

Yes. Nicole Dannenberg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Dannenberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Dannenberg reassigns Medicare benefits to The Medical College Of Wisconsin, Inc. (Milwaukee, 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 Dannenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Dannenberg accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Nicole Dannenberg 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 Dannenberg was last updated on December 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.