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

Nicholas Perifanos, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1730549387

Nicholas Perifanos, NURSEPRACTITIONER is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2015, 11 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

3289 N Mayfair Rd
Milwaukee, WI 53222-3203
Phone: (414) 771-7900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10625 W North Ave Ste 102, Wauwatosa, WI 53226-2315 — (414) 877-5350

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 6840 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 6840-33 (WI)

Record details

NPI number1730549387
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedFebruary 24, 2016
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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