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Active NPI 1669795753 Individual Practitioner Female Practitioner

Jillian Frances Nicholson , ATC, LAT

Specialist/Technologist - Athletic Trainer • Hazelhurst, WI

Professional Overview & Biography Verified Profile Summary

Jillian Nicholson, ATC, LAT is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Hazelhurst, WI. Practice services are available at 6119 CTH Y # 13 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6119 Cth Y # 13

Hazelhurst, WI 545319762

Telephone 7155644326

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Hazelhurst, WI

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

Practicing in Hazelhurst, WI (1241 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

CMS Verified: 2023-08-15
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License WI 1059-039

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Wi State Licensure
1059-039 (WI)
Commercial Insurance / Payer ID Boc Certification Number
2000000365

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 15, 2023

Registered at 6119 CTH Y # 13, HAZELHURST, WI 545319762 (Tel: 7155644326)

📍
Updated Business Mailing Address August 15, 2023

Registered at 6119 CTH Y # 13, HAZELHURST, WI 545319762 (Tel: 7155644326)

NPI Profile Active November 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location November 11, 2012

Registered at 9601 TOWNLINE RD, MINOCQUA, WI 545489099 (Tel: 7153581490)

📍
Updated Business Mailing Address November 11, 2012

Registered at 11796 STATE HIGHWAY 70, MINOCQUA, WI 545489548 (Tel: 7153581886)

👤
Provider Name / Credentials Updated November 11, 2012

Recorded as JILLIAN NICHOLSON, ATC, LAT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 11, 2012

Specialist/Technologist (License #1059-039 in WI)

🟢
Initial NPI Registration & Enumeration March 04, 2010

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: 1669795753
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 04, 2010
Last Update: August 15, 2023
Sole Proprietor: No

Mailing Address

6119 Cth Y # 13

Hazelhurst, WI 545319762

Phone: 7155644326

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.