Healthcare Provider Details

I. General information

NPI: 1801136288
Provider Name (Legal Business Name): NICOLE M. RINTELMAN MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2013
Last Update Date: 02/20/2026
Certification Date: 02/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 W. SCHROEDER DRIVE ROGERS MEMORIAL HOSPITAL
BROWN DEER WI
53223
US

IV. Provider business mailing address

3428 S SHORE DR
HUBERTUS WI
53033-9539
US

V. Phone/Fax

Practice location:
  • Phone: 414-355-9000
  • Fax:
Mailing address:
  • Phone: 262-751-1945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number18051-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: