Nicole Lauren Depolo, MD
Surgery in Eau Claire, WI. Individual provider (NPI-1).
NPI number1164080636
StatusActive
Last updated in NPPESOct 1, 2026
Details
- NPI
- 1164080636
- Entity type
- Individual (NPI-1)
- Name
- Nicole Lauren Depolo
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2019
- Certification date
- Oct 1, 2026
- Last updated
- Oct 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208600000X | Surgery | 88199 | WI | Yes |
| 208600000X | Surgery | D0103262 | MD |
Practice location
1400 Bellinger StEau Claire, WI 54703-5222
Phone 715-838-5222
Mailing address
Po Box 860912Minneapolis, MN 55486-0912
Phone 715-838-5222
Other practice locations
11234 Anderson St
Loma Linda, CA 92354-2804
Loma Linda, CA 92354-2804
Phone 909-558-2822
1800 Orleans St
Baltimore, MD 21287-0010
Baltimore, MD 21287-0010
Phone 410-955-8893
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Surgery Physician providers in Eau Claire, WI
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- Richard J Daniels, M.D.NPI 1053369496
- Miechia Ashawn Esco, M.D.,PHDNPI 1164595310
- Evergreen Surgical, S.C.NPI 1740238872
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All 26 Surgery Physician providers in Eau Claire · All 3,636 providers in Eau Claire
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