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

Glenn A Nickele, MD

Individual provider Cardiovascular Disease Physician · NPI 1093781452

Glenn A Nickele, MD is a Cardiovascular Disease (Cardiology) in Saint Croix Falls, Wisconsin. Graduated from University of Michigan Medical School in 1989, 37 years ago. Practices with St Croix Regional Medical Center, a 132-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota and Wisconsin.

Years since qualifying
37
Trained at
University of Michigan Medical School
Licensed in
MN, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

216 S Adams St
Saint Croix Falls, WI 54024-9449
Phone: (715) 483-3221
Fax: (715) 483-0507
Show map & directions

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

Additional practice locations (1)

  • 640 Jackson St, St Paul, MN 55101-2502 — (651) 254-5175

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 32220 (WI)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 42548 (MN)

Record details

NPI number1093781452
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 27, 2006
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024
Mailing address235 State Street, St. Croix Falls, WI 54024-4117

Medicare enrollment

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

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 1989 (37 years in practice)
Group practice St. Croix Regional Medical Center — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare