Nicole Ann Prokash, MS - Occupational Therapist in Ashwaubenon, WI

Nicole Ann Prokash, MS is a Occupational Therapist based in Ashwaubenon, Wisconsin. Nicole Ann Prokash is licensed to practice in Wisconsin (license number 4928-026) and her current practice location is 1040 Pilgrim Way, Ashwaubenon, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (920) 405-3522.

NPI number for Nicole Ann Prokash is 1790088672 and her current mailing address is 543 Hill Rd, Greenleaf, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1790088672.

Contact Information

Nicole Ann Prokash, MS
1040 Pilgrim Way,
Ashwaubenon, WI 54304-5028
(920) 405-3522
Not Available



Healthcare Provider's Profile

Full NameNicole Ann Prokash
GenderFemale
SpecialityOccupational Therapist
Location1040 Pilgrim Way, Ashwaubenon, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1790088672
  • Provider Enumeration Date: 12/14/2010
  • Last Update Date: 09/07/2022

Medical Identifiers

Medical identifiers for Nicole Ann Prokash such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790088672NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 4928-026 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Nicole Ann Prokash is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Nicole Ann Prokash, MS
543 Hill Rd,
Greenleaf, WI 54126-9632

Ph: (920) 205-9757
Nicole Ann Prokash, MS
1040 Pilgrim Way,
Ashwaubenon, WI 54304-5028

Ph: (920) 405-3522

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› Verified 1 days ago


Occupational Therapist in Ashwaubenon, WI

Mary T. Annen, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1040 Pilgrim Way, Woodside Lutheran Home, Ashwaubenon, WI 54304
Phone: 920-405-3522    Fax: 920-405-3523
Kara J Behm, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1040 Pilgrim Way, Ashwaubenon, WI 54304
Phone: 920-499-1481    

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