Nicole Mae McIntyre, PA-C
NPI 1053067025ActiveIndividual· Physician Assistant· Appleton, WI
Physician Assistant (PA-C) with Thedacare, Incorporated and 1 other group, practicing in Appleton, Wisconsin. 87 Medicare patients in 2024, $15,632 paid; all of their 202 Part D prescriptions were generic. Organogenesis Inc. was the largest of 3 companies reporting payments in 2025, $302.25 in all, mostly food and beverage. Lists Thedacare Medical Center - Berlin Inc and 1 other hospital as hospital affiliations.
Overview
| NPI | 1053067025 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Feb 28, 2022 |
| Last updated in NPPES | Jun 15, 2026 |
| Certified by provider | Jun 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 7006 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 87 |
|---|---|
| Services billed | 282 across 9 procedure codes |
| Paid by Medicare | $15,632 |
Part D prescriptions in 2024
| Prescriptions (claims) | 202 · 267 30-day fills |
|---|---|
| Patients | 108 |
| Total drug cost | $2,898 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Thedacare, IncorporatedWaupaca, WI · 647 clinicians
- Advanced Ear Nose and Throat Specialists, SCMequon, WI · 33 clinicians
Hospital affiliations
- Thedacare Medical Center - Berlin IncBerlin, WI
- Thedacare Regional Medical Center - Appleton IncAppleton, WI
Industry payments (Open Payments)
- 2025$302.25 · 3 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Organogenesis Inc. | $150.00 | 1 |
| Urgo Medical North America, LLC | $126.47 | 1 |
| Stryker Corporation | $25.78 | 1 |
What the 2025 payments were for
- Food and Beverage$302.25 · 3 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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