Individual Healthcare Provider
Glenn A Nickele, MD
Provider's NPPES record last updated: June 12, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1093781452
- Primary Specialty
- Internal Medicine — Cardiovascular Disease
- Practice Location
- Saint Croix Falls, Wisconsin
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 9:32 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Internal Medicine
Cardiovascular Disease
Allopathic & Osteopathic Physicians
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Taxonomy code 207RC0000X
Provider-Reported License Information
- Internal Medicine (Wisconsin)
- 32220
- Internal Medicine (Minnesota)
- 42548
Practice Locations
Practice Location
216 S Adams St
Saint Croix Falls, Wisconsin 54024-9449
Phone: (715) 483-3221
Additional Practice Location
640 Jackson St
Mc 11102h
St Paul, Minnesota 55101-2502
Phone: (651) 254-5175
Fax: (651) 254-1603
Record Information
- Enumeration Date
- February 27, 2006
- Provider's NPPES Record Last Updated
- June 12, 2024
- Certification Date
- June 12, 2024
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue