Individual ProviderNicole CamosyNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2801 W Kinnickinnic River Pkwy, Suite 777, Milwaukee, WI 53215-3669(414) 649-3530PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Camosy 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 2 days ago.Profile DetailsProvider ID1679840466Provider TypeIndividualFull NameCamosy, NicoleTitleMs.CredentialAPNPGenderFemaleSole ProprietorNoEnumeration Date11/21/2011Last Updated11/29/2021Contact InformationPractice LocationPractice Address2801 W Kinnickinnic River Pkwy, Suite 777, Milwaukee, WI 53215-3669Phone(414) 649-3530Fax(414) 649-3585Mailing LocationMailing Address2801 W Kinnickinnic River Pkwy, Suite 777, Milwaukee, WI 53215-3669Phone(414) 649-3530Fax(414) 649-3585Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense4705-33Wisconsin