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

Nicole Dubish, PA

Individual provider Physician Assistant · NPI 1275351462

Nicole Dubish, PA is a Physician Assistant in Pleasant Prairie, Wisconsin. Qualified in 2024, 2 years ago. Practices with Froedtert South Inc, a 156-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

9555 76th St
Pleasant Prairie, WI 53158-1984
Phone: (262) 577-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 E Superior St Ste 306, Chicago, IL 60611-2595 — (312) 754-9404

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.012122 (IL)

Record details

NPI number1275351462
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 27, 2024
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Froedtert South Inc — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pleasant Prairie