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

Nicole Dodge, MD

Individual provider Surgery Physician · NPI 1184144149

Nicole Dodge, MD is an Urology in Eau Claire, Wisconsin. Qualified in 2017, 9 years ago. Practices with Mayo Clinic Health System-Northwest Wisconsin Region Inc, a 799-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Wisconsin.

Years since qualifying
9
Licensed in
MN, WI
In the registry since
2017
Specialties on file
4
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

733 W Clairemont Ave
Eau Claire, WI 54701-6101
Phone: (715) 838-5222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 1st St Sw, Rochester, MN 55905 — (507) 284-2811

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 22846 (WI)
Surgery Physician Taxonomy 208600000X · Licence 28771 (MN)
Urology Physician Taxonomy 208800000X · Licence 28771 (MN)
Urology Physician Taxonomy 208800000X · Licence 65130 (MN)

Record details

NPI number1184144149
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 21, 2017
Last updated in NPPESAugust 1, 2022
Certification dateAugust 1, 2022
Mailing address200 1st St Sw, Rochester, MN 55905-0001

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mayo Clinic Health System-Northwest Wisconsin Region Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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