Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083302087 Individual Practitioner Male Practitioner

Daniel Nelson

Specialist/Technologist - Athletic Trainer • Mequon, WI

Professional Overview & Biography Verified Profile Summary

Daniel Nelson is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Mequon, WI. Practice services are available at 12800 N LAKE SHORE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

12800 N Lake Shore Dr

Mequon, WI 530972418

Telephone 2622432129
Associated Practice Facility / Clinic
🏢 Concordia University, Inc Facility NPI 1518439843

Specialty Benchmarks & Practice Insights

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

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

Practicing in Mequon, 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: 2026-05-26
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License WI 3221-39

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Emergency Medical Technician, Basic

NUCC Taxonomy Code: 146N00000X

State License WI 70120592

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Emergency Medical Technician, Basic

NUCC Taxonomy Code: 146N00000X

State License MN 1024526

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Jeffrey Hinkle , MED, ATC, L

Specialist/Technologist - Athletic Trainer

NPI 1619382306

Master of Education, Certified Athletic Trainer, L

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 08, 2026

Registered at 12800 N LAKE SHORE DR, MEQUON, WI 530972418 (Tel: 2622432129)

📍
Updated Business Mailing Address March 08, 2026

Registered at 1740 W GRAND AVE APT 203, PORT WASHINGTON, WI 530742094 (Tel: 6126955925)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2026

Specialist/Technologist (License #3221-39 in WI)

NPI Profile Active May 04, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 04, 2023

Registered at 1409 N WISCONSIN ST, PORT WASHINGTON, WI 530741249 (Tel: 6126955925)

📍
Updated Business Mailing Address May 04, 2023

Registered at 1409 N WISCONSIN ST, PORT WASHINGTON, WI 530741249 (Tel: 6126955925)

👤
Provider Name / Credentials Updated May 04, 2023

Recorded as DANIEL NELSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 27, 2023

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: 1083302087
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2023
Last Update: May 26, 2026
Sole Proprietor: Yes

Mailing Address

1740 W Grand Ave Apt 203

Port Washington, WI 530742094

Phone: 6126955925

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.