1801136288 NPI number — NICOLE M. RINTELMAN MSN, PMHNP-BC

Table of content: NICOLE M. RINTELMAN MSN, PMHNP-BC (NPI 1801136288)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1801136288 NPI number — NICOLE M. RINTELMAN MSN, PMHNP-BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RINTELMAN
Provider First Name:
NICOLE
Provider Middle Name:
M.
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MSN, PMHNP-BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1801136288
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/20/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3428 S SHORE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUBERTUS
Provider Business Mailing Address State Name:
WI
Provider Business Mailing Address Postal Code:
53033-9539
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
262-751-1945
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4600 W. SCHROEDER DRIVE
Provider Second Line Business Practice Location Address:
ROGERS MEMORIAL HOSPITAL
Provider Business Practice Location Address City Name:
BROWN DEER
Provider Business Practice Location Address State Name:
WI
Provider Business Practice Location Address Postal Code:
53223
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
414-355-9000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/22/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X , with the licence number:  18051-33 , registered in the state of WI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)