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

Nickolas Rukamp, PA-C

Individual provider Medical Physician Assistant · NPI 1144613811

Nickolas Rukamp, PA-C is a Physician Assistant in Pewaukee, Wisconsin. Qualified in 2014, 12 years ago. Practices with Orthopaedic Associates of Wisconsin SC, a 106-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
12
Licensed in
WI
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone: (262) 303-5055
Fax: (262) 303-5057
Show map & directions

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

Additional practice locations (1)

  • 725 American Ave Ste 5, Waukesha, WI 53188-5031 — (262) 928-2475

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 3493-23 (WI)

Record details

NPI number1144613811
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 5, 2015
Last updated in NPPESDecember 21, 2023
Certification dateDecember 21, 2023
Mailing address6400 Industrial Loop, Greendale, WI 53129-2452

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Orthopaedic Associates Of Wisconsin Sc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare