Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole L Baumann-Blackmore, MD

Individual provider Pediatrics Physician · NPI 1548227838

Nicole L Baumann-Blackmore, MD is a Pediatrics Physician in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.

Licensed in
WI
In the registry since
2006
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

202 S Park St
Madison, WI 53715-1507
Phone: (608) 417-6236
Fax: (608) 833-6932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence 49593 (WI)
Pediatrics Physician Taxonomy 208000000X · Licence 49593-020 (WI)
Pediatrics Physician Taxonomy 208000000X · Licence 1692 (WI)
Hospitalist Physician Taxonomy 208M00000X · Licence 49593-020 (WI)

Record details

NPI number1548227838
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 28, 2006
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

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