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

Individual provider Pediatrics Physician · NPI 1457664385

Nicole Leigh Ertl, MD is a Pediatrics Physician in Madison, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2010
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

4410 Regent St
Madison, WI 53705-4901
Phone: (608) 233-9746
Fax: (608) 233-0026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 877 Forest Hill Ave Se, Grand Rapids, MI 49546-2560 — (616) 391-9377

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301096897 (WI)

Record details

NPI number1457664385
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 20, 2010
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

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