DAVID J PENCIKOWSKI NP
NPI 1962579243
Nurse Practitioner in South Milwaukee, WI

Q: What is David Pencikowski's NPI number?

The NPI number for David Pencikowski is 1962579243. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Q: What is David Pencikowski'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 David Pencikowski was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 November 29, 2006PECOS Enrolled

3611 S CHICAGO AVE, SOUTH MILWAUKEE, WI 53172(414) 762-2450 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 30, 2021, Feb 12, 2018 (2 updates tracked since 2018).

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About David J Pencikowski Np NPPES

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

DAVID J PENCIKOWSKI NP (NPI 1962579243) is an individual nurse practitioner in South Milwaukee, Wisconsin, licensed in Wisconsin (3008-33) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1962579243

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameDAVID J PENCIKOWSKICredential: NP

Location Address3611 S CHICAGO AVESouth Milwaukee, WI 53172-3738

Mailing Address3611 S Chicago AveSouth Milwaukee, WI 53172-3738 · (414) 762-2450

Phone(414) 762-2450

Sole ProprietorNo

Enumeration DateNovember 29, 2006

Last NPPES UpdateNovember 30, 20212 updates tracked since enumeration

NPPES CertifiedNovember 30, 2021

✔ NPI 1962579243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 3008-33

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.

3611 S CHICAGO AVE, South Milwaukee, WI 53172

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Secondary Practice Location 1

Location 1810 Liebman Ct, APT 8Green Bay, WI 54302-5090 · Phone (999) 999-9999

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David J Pencikowski Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53172 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 10

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

LAKESHORE MEDICAL CLINIC, LLC

Durable Medical Equipment & Medical Supplies

3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172

Milwaukee County (414) 762-7270

SANDHYA SUREDDI MD

Internal Medicine

3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172

Milwaukee County (414) 762-7270

DR. JILL C LYONS DPT

Physical Therapist

3611 S CHICAGO AVE, SUTIE 120
SOUTH MILWAUKEE, WI 53172

Milwaukee County (414) 766-2440

MADELINE PRESTON OTD

Occupational Therapist

3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172

Milwaukee County (414) 766-2440

JOHN P VIEAU PA

Physician Assistant (Medical)

3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172

Milwaukee County (414) 762-7270

CASSANDRA MARASCH DPT

Physical Therapist

3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172

Milwaukee County (414) 766-2440

DREW GUNDERSON MD

Family Medicine

3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172

Milwaukee County (414) 762-7270

KATIE J RASMUSSEN PA-C

Physician Assistant

3611 S CHICAGO AVE
SOUTH MILWAUKEE, WI 53172

Milwaukee County (414) 762-7270

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 David Pencikowski's NPI number?

The NPI number for David Pencikowski is 1962579243. It was assigned to this individual provider in the NPPES registry on November 29, 2006.

Where is David Pencikowski located?

David Pencikowski practices at 3611 S Chicago Ave, South Milwaukee, WI 53172. The listed phone number is (414) 762-2450.

What is David Pencikowski's specialty?

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

Is David Pencikowski enrolled in Medicare?

Yes. David Pencikowski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Pencikowski was last updated on November 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.