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

Mrs. Nicole Ann Kakuk, APRN

Individual provider Registered Nurse · NPI 1790220044

Mrs. Nicole Ann Kakuk, APRN is a Nurse Practitioner in Manitowoc, Wisconsin. Qualified in 2021, 5 years ago. Practices with Froedtert Manitowoc Medical Group, LLC, a 157-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2016
Specialties on file
3
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2300 Western Ave
Manitowoc, WI 54220-3712
Phone: (920) 320-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 12223-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 232814 - 30 (WI)
Licensed Vocational Nurse Taxonomy 164X00000X · Licence 319942 (WI)

Record details

NPI number1790220044
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedDecember 22, 2016
Last updated in NPPESJune 7, 2024
Certification dateDecember 11, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Froedtert Manitowoc Medical Group, Llc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Manitowoc