Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Andrew Edward Nicoli, DO

Individual provider Anesthesiology Physician · NPI 1124280052

Dr. Andrew Edward Nicoli, DO is an Anesthesiology in Grafton, Wisconsin. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2006, 20 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
20
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
IL, WI
In the registry since
2008
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

975 Port Washington Rd
Grafton, WI 53024-9201
Phone: (262) 329-1000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2160 S 1st Ave, Maywood, IL 60153-3328 — (708) 216-9169

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 54185 (WI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 125-051421 (IL)

Record details

NPI number1124280052
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJuly 1, 2008
Last updated in NPPESJuly 10, 2025
Certification dateJuly 10, 2025
Mailing addressPo Box 735044, Chicago, IL 60673-5044

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2006 (20 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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