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Deactivated NPI 1053882522 Deactivated / Inactive NPI Male Practitioner

Nicholas David Jacques

Specialist/Technologist - Athletic Trainer • Saint Peter, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Nicholas Jacques has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 10, 2018
NPI Deactivation Date November 11, 2023
Total Practice Duration ~5 Years of Practice (2018 – 2023)

Professional Overview & Biography Verified Profile Summary

Nicholas Jacques was a registered Specialist/Technologist - Athletic Trainer practicing in Saint Peter, MN. Throughout an active medical career spanning 5 years, Nicholas Jacques provided care at the practice location at 800 W COLLEGE AVE until profile deactivation on 2023-11-11.

Practice Location & Contact Primary Location

Practice Address

800 W College Ave

Saint Peter, MN 560821498

Telephone 6123606002
Associated Practice Facility / Clinic
🏢 Gustavus Adolphus College Facility NPI 1508911330

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Saint Peter, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
23 Specialists

Practicing in Saint Peter, MN (1033 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Haley Reed

Student in an Organized Health Care Education/Training Program

NPI 1003440736
Heather Dale , PA-C

Physician Assistant

NPI 1043300205

Physician Assistant (Certified)

Abigail Schammel

Student in an Organized Health Care Education/Training Program

NPI 1043845936
Yee Lor

Specialist/Technologist - Athletic Trainer

NPI 1053881342
Emma Davis

Student in an Organized Health Care Education/Training Program

NPI 1073147187
Matthew Eberhardt , MS, ATC, ATR, CSCS

Specialist/Technologist - Athletic Trainer

NPI 1083688543

Master of Science, Certified Athletic Trainer, ATR, Certified Strength and Conditioning Specialist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 11, 2023

Record deactivated on November 11, 2023

NPI Profile Active December 10, 2018

NPI status registered as active in NPPES database

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Updated Practice Location December 10, 2018

Registered at 800 W COLLEGE AVE, SAINT PETER, MN 560821498 (Tel: 6123606002)

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Updated Business Mailing Address December 10, 2018

Registered at 800 W COLLEGE AVE, SAINT PETER, MN 560821498 (Tel: 6123606002)

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Provider Name / Credentials Updated December 10, 2018

Recorded as NICHOLAS JACQUES

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2018

Specialist/Technologist

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Initial NPI Registration & Enumeration December 10, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053882522
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2018
Last Update: December 10, 2018
Deactivation Date: November 11, 2023

Mailing Address

800 W College Ave

Saint Peter, MN 560821498

Phone: 6123606002

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.