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Deactivated NPI 1013019355 Deactivated / Inactive NPI Male Practitioner

Dr. Nicholas Mark Cetta , MD

Pediatrics • Kenosha, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Nicholas Cetta has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 05, 2006
NPI Deactivation Date May 16, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Cetta, MD was a registered Pediatrics practicing in Kenosha, WI. Throughout an active medical career spanning 16 years, Dr. Cetta provided care at the practice location at 2901 35TH ST until profile deactivation on 2022-05-16.

Practice Location & Contact Primary Location

Practice Address

2901 35th St
Lower Level

Kenosha, WI 53140

Telephone 2626525115
Fax 2626526552
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Kenosha, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 30.0 Yrs
State Avg: 18.1 Yrs
Regional Practice Density
20 Specialists

Practicing in Kenosha, WI (1245 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1184629677

Doctor of Podiatric Medicine

Dr. Dennis Connolly , DDS MS

Dentist - Periodontics

NPI 1245215128

DDSMS

Dr. Lori Kerber , DDS

Dentist - Pediatric Dentistry

NPI 1336124213

Doctor of Dental Surgery

Brittany Nieft

Nurse Practitioner - Psychiatric/Mental Health

NPI 1528910023
Autumn Marzette-Anderson , LPC

Counselor - Professional

NPI 1689346207

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 16, 2022

Record deactivated on May 16, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2901 35TH ST, LOWER LEVEL, KENOSHA, WI 53140 (Tel: 2626525115)

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Updated Business Mailing Address July 08, 2007

Registered at 2901 35TH ST, LOWER LEVEL, KENOSHA, WI 53140 (Tel: 2626525115)

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Provider Name / Credentials Updated July 08, 2007

Recorded as NICHOLAS CETTA, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics

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Initial NPI Registration & Enumeration September 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013019355
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 05, 2006
Last Update: July 08, 2007
Deactivation Date: May 16, 2022

Mailing Address

2901 35th St, Lower Level

Kenosha, WI 53140

Phone: 2626525115

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.