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

Nicolette Deveneau

Individual provider Obstetrics & Gynecology Physician · NPI 1982877866

Nicolette Deveneau is an Urology in Milwaukee, Wisconsin. Graduated from University of Texas Medical School at San Antonio in 2008, 18 years ago. Practices with Madison Medical Affiliates Inc, a 86-clinician group and accepts Medicare assignment. Licensed in Kentucky and Wisconsin.

Years since qualifying
18
Trained at
University of Texas Medical School at San Antonio
Licensed in
KY, WI
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

2350 N Lake Dr Ste 504
Milwaukee, WI 53211-4528
Phone: (414) 289-9668
Fax: (414) 289-0974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician (primary) Taxonomy 2088F0040X · Licence 54414 (WI)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence TP (KY)

Record details

NPI number1982877866
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 11, 2008
Last updated in NPPESSeptember 25, 2015
Mailing address4425 N Port Washington Rd, Glendale, WI 53212-1082

Medicare enrollment

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

Medicare specialtyUROLOGY
Also practisesOBSTETRICS/GYNECOLOGY
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 2008 (18 years in practice)
Group practice Madison Medical Affiliates Inc — 86 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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