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Nicole Taylor Hermes

Student in an Organized Health Care Education/Training Program

Student, Health Care

PECOS Enrollment

This provider is enrolled in PECOS as NICOLE HERMES.

Based on the most recent information from CMS, provider Nicole Taylor Hermes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1255162574
Provider Type
Individual
Full Name
Hermes, Nicole Taylor
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/8/2024
Last Updated
8/8/2024

Contact Information

Practice Location

507 N 17th St, Milwaukee, WI 53233-2104

(248) 990-8830

Unlisted Fax

Mailing Location

507 N 17th St, Milwaukee, WI 53233-2104

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Nicole Taylor Hermes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Rose, Jaida

Hart, Joshua R

Schulte, Katherine

Mozdzierz, Paulina

Lockett, Ophelia Lynette

Carr, Shyla Marie

Trenhs, Sarai

Gall, Anneliese Rose

Henderson, Gina

Ostroot, Molly Katherine