Nicole Reiland, APNP in Green Bay, WI - Medicare Nurse Practitioner

Nicole Reiland, APNP is a medicare enrolled "Nurse Practitioner - Family" in Green Bay, Wisconsin. Her current practice location is 1860 Shawano Ave, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 429-1700.

Nicole Reiland is licensed to practice in Wisconsin (license number 14407-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881478386.

Contact Information

	Nicole Reiland, APNP
	1860 Shawano Ave, Green Bay, WI 54303-2667
	(920) 429-1700
	Not Available

Map and Direction

Provider's Profile

Full Name	Nicole Reiland
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1860 Shawano Ave, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881478386
Provider Enumeration Date: 08/24/2023
Last Update Date: 01/18/2024

Medicare PECOS Information:

PECOS PAC ID: 9234585068
Enrollment ID: I20231030002984

Medical Identifiers

Medical identifiers for Nicole Reiland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881478386	NPI	-	NPPES
100254797	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	14407-33 (Wisconsin)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	14407-33 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	14407-33 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nicole Reiland allows following entities to bill medicare on her behalf.

Entity Name	St. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275799413 PECOS PAC ID: 8325931652 Enrollment ID: O20040202001172

Entity Name	St Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285613638 PECOS PAC ID: 5799694675 Enrollment ID: O20080620000423

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Reiland is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Nicole Reiland, APNP Po Box 19070, Green Bay, WI 54307-9070 Ph: (920) 429-1700	Nicole Reiland, APNP 1860 Shawano Ave, Green Bay, WI 54303-2667 Ph: (920) 429-1700

Reviews and Comments

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Nicole Reiland, APNP - Medicare Nurse Practitioner in Green Bay, WI