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Active NPI 1659383040 Individual Practitioner Female Practitioner

Nicole Denae Benjamin Reddick , PA-C

Physician Assistant • Neenah, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Nicole Benjamin Reddick, PA-C is a certified Physician Assistant practicing in Neenah, WI. With approximately 21 years of clinical experience since completing medical education in 2005, Nicole Benjamin Reddick delivers high-quality medical care to the local community at 100 THEDA CLARK MEDICAL PLZ STE 340.

Nicole Benjamin Reddick is affiliated with Thedacare, Incorporated and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service;, advance care planning, first, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Theda Clark Medical Plz Ste 340

Neenah, WI 549562763

Telephone 9203643600
Fax 9203643900

Medicare Profile & Education

Medical School

Other

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Neenah, WI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
21 Yrs +8.6 yrs vs City Avg
City Avg: 12.4 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
27 Specialists

Practicing in Neenah, WI (3517 Statewide)

Telehealth Adoption Rate
14.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
74.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Benjamin Reddick (21 Years) 21 Yrs
Neenah Specialty Average (12.4 Years) 12.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
G2212 Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
119 32 $111.90 $25.59
99497 Advance care planning, first 30 minutes
27 27 $232.40 $64.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more
27 27 $690.80 $170.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
26 17 $520.60 $142.59
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
21 18 $61.60 $13.11

Medical Specialties & State Licenses

CMS Verified: 2024-08-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 2729

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License TX PA04542

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs
8Y0227 (TX)

Hospital & Practice Group Affiliations

Thedacare, Incorporated

130 2nd St, Neenah, WI 549562883

Phone: 9207250077

Thedacare, Incorporated

3 Neenah Ctr, Neenah, WI 549563070

Thedacare, Incorporated

600 N Westhaven Dr, Oshkosh, WI 549046926

Phone: 9207250077

Thedacare, Incorporated

100 Theda Clark Medical Plz, Neenah, WI 549562763

Phone: 9207295833

Thedacare, Incorporated

491 S Washburn St, Oshkosh, WI 549046733

Phone: 9202925555

Thedacare, Incorporated

130 2nd St, Neenah, WI 549562883

Phone: 9207292030

Secondary Practice Locations

5323 Harry Hines Boulevard

Dallas, TX 753907201

Phone: 2146458000

491 S Washburn St Ste 100

Oshkosh, WI 549046733

Phone: 9203643600

Practice Associates & Co-Workers

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

24 Associated Practitioners
Shannon Schmidt

Internal Medicine - Hematology & Oncology

NPI 1033351465
NPI 1093327694

Doctor of Pharmacy (Pharm.D.)

Dr. Atul Dogra , MD

Family Medicine

NPI 1104011386

Doctor of Medicine (M.D.)

Leah Ebben , PA-C

Physician Assistant

NPI 1124693395

Physician Assistant (Certified)

Alyssa Mader , RN

Nurse Practitioner - Family

NPI 1205459211

Registered Nurse

Ashley Schumacher , APNP

Nurse Practitioner - Family

NPI 1225413347

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 04, 2022

Registered at 100 THEDA CLARK MEDICAL PLZ STE 340, NEENAH, WI 549562763 (Tel: 9203643600)

📍
Updated Business Mailing Address March 04, 2022

Registered at 100 THEDA CLARK MEDICAL PLZ STE 340, NEENAH, WI 549562763 (Tel: 9203643600)

👤
Provider Name / Credentials Updated March 04, 2022

Recorded as NICOLE BENJAMIN REDDICK, PA-C

NPI Profile Active October 12, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2012

Registered at 5323 HARRY HINES BOULEVARD, DALLAS, TX 753907201 (Tel: 2146458000)

📍
Updated Business Mailing Address October 12, 2012

Registered at P.O. BOX 845347, DALLAS, TX 752845347 (Tel: 2146458000)

👤
Provider Name / Credentials Updated October 12, 2012

Recorded as NICOLE BENJAMIN, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2012

Physician Assistant (License #PA04542 in TX)

🟢
Initial NPI Registration & Enumeration August 13, 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: 1659383040
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2006
Last Update: August 12, 2024
Sole Proprietor: No

Mailing Address

100 Theda Clark Medical Plz Ste 340

Neenah, WI 549562763

Phone: 9203643600

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.