Nicole Wildeman
NPI 1417605833 · Professional Counselor · Fenton, MI
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicole Wildeman is a Professional Counselor provider in Fenton, MI (NPI 1417605833).
Provider details
- NPI number
- 1417605833
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 6401222623 (MI)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-03-15
- Last updated
- 2026-04-09
- Certified
- 2026-04-09
Frequently asked questions
- What is Nicole Wildeman's NPI number?
- Nicole Wildeman's National Provider Identifier (NPI) is 1417605833, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Wildeman's specialty?
- Nicole Wildeman is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Nicole Wildeman located?
- Nicole Wildeman's practice location on file with NPPES is 14229 Torrey Rd # 3, Fenton, MI 48430-3308.
- What is Nicole Wildeman's phone number?
- The practice phone number listed in the NPPES registry for Nicole Wildeman is (810) 214-2624.
- Does Nicole Wildeman accept Medicare?
- Nicole Wildeman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicole Wildeman's NPI active?
- Yes — Nicole Wildeman's NPI (1417605833) is active in the NPPES registry as of the last update on 2026-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.