Nicole Ann Kakuk, APRN
NPI 1790220044ActiveIndividual· Nurse Practitioner· Manitowoc, WI
Nurse Practitioner (APRN) with Froedtert Manitowoc Medical Group, LLC, practicing in Manitowoc, Wisconsin. 61 Medicare patients in 2024, $18,515 paid; nearly all of their 104 Part D prescriptions were generic (97%). Smith+nephew, Inc. reported $31.47 in payments in 2024, mostly food and beverage. Lists Holy Family Memorial as a hospital affiliation.
Overview
| NPI | 1790220044 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | Yes |
| NPI issued | Dec 22, 2016 |
| Last updated in NPPES | Jun 7, 2024 |
| Certified by provider | Dec 11, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 12223-33 | WI |
| Registered Nurse | 163W00000X | 232814 - 30 | WI |
| Licensed Vocational Nurse | 164X00000X | 319942 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 61 |
|---|---|
| Services billed | 393 across 18 procedure codes |
| Paid by Medicare | $18,515 |
Part D prescriptions in 2024
| Prescriptions (claims) | 104 · 124 30-day fills |
|---|---|
| Patients | 49 |
| Total drug cost | $1,458 |
| Generic share | 97% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Froedtert Manitowoc Medical Group, LLCSheboygan, WI · 156 clinicians
Hospital affiliation
- Holy Family MemorialManitowoc, WI
Other facilities
- Thedacare at HomeHome health agency · Appleton, WI
Industry payments (Open Payments)
- 2024$31.47 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Smith+nephew, Inc. | $31.47 | 1 |
What the 2024 payments were for
- Food and Beverage$31.47 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 36 nurse practitioners in Manitowoc · All nurse practitioners in Wisconsin