Individual ProviderNicole Ver VoortNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address101 Main St, Neenah, WI 54956-2570(920) 720-1463PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Ver Voort is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1215463146Provider TypeIndividualFull NameVer Voort, NicoleCredentialAPNPGenderFemaleSole ProprietorNoEnumeration Date5/11/2017Last Updated5/11/2017Contact InformationPractice LocationPractice Address101 Main St, Neenah, WI 54956-2570Phone(920) 720-1463FaxUnlisted FaxMailing LocationMailing Address101 Main St, Neenah, WI 54956-2570Phone(920) 720-1463FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense7677Wisconsin