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

Dr. Nicole Georgann Viccari, MD

Individual provider Diagnostic Radiology Physician · NPI 1346224839

Dr. Nicole Georgann Viccari, MD is a Diagnostic Radiology in Mequon, Wisconsin. Graduated from Loma Linda University School of Medicine in 2002, 24 years ago. Practices with Premier Radiology Wisconsin LLC, a 111-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
24
Trained at
Loma Linda University School of Medicine
Licensed in
WI
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

10945 N Port Washington Rd Ste 201
Mequon, WI 53092-5078
Phone: (262) 292-3151
Fax: (414) 434-0467
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 70321 (WI)

Record details

NPI number1346224839
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 30, 2005
Last updated in NPPESNovember 17, 2023
Certification dateNovember 17, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2002 (24 years in practice)
Group practice Premier Radiology Wisconsin Llc — 111 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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