Jolleen Mary Nichols, DNP - Medicare Nurse Practitioner in Clear Lake, WI

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Jolleen Mary Nichols, DNP is a medicare enrolled "Nurse Practitioner" in Clear Lake, Wisconsin. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Amery Regional Medical Center Inc and her current practice location is 357 Third Ave, Clear Lake, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 268-8000.

Jolleen Mary Nichols is licensed to practice in Wisconsin (license number 9572) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770134892.

Contact Information

Jolleen Mary Nichols, DNP
357 Third Ave,
Clear Lake, WI 54005
(715) 268-8000
Not Available

Map and Direction




Provider's Profile

Full NameJolleen Mary Nichols
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location357 Third Ave, Clear Lake, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jolleen Mary Nichols graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1770134892
  • Provider Enumeration Date: 09/20/2019
  • Last Update Date: 11/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4082046271
  • Enrollment ID: I20191108000520

Medical Identifiers

Medical identifiers for Jolleen Mary Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770134892NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 9572 (Wisconsin)Secondary
363L00000XNurse Practitioner 9572 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adoray Home HealthBaldwin, WIHome health agency
Good Samaritan Society Home CareSt croix falls, WIHome health agency
Fairview Home Care And HospiceMinneapolis, MNHome health agency
Amery Hospital & ClinicAmery, WIHospital
Lakeview Memorial HospitalStillwater, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Amery Regional Medical Center Inc2769391960125

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jolleen Mary Nichols allows following entities to bill medicare on her behalf.
Entity NameAmery Regional Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093763518
PECOS PAC ID: 2769391960
Enrollment ID: O20040131000207

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jolleen Mary Nichols is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jolleen Mary Nichols, DNP
8170 33rd Ave S, Ms 21110q,
Bloomington, MN 55425

Ph: () -		Jolleen Mary Nichols, DNP
357 Third Ave,
Clear Lake, WI 54005

Ph: (715) 268-8000

Reviews and Comments


Nurse Practitioner Nurses in Clear Lake, WI

Kathy Ann Gates, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 370 3rd Avenue, Clear Lake, WI 54005
Phone: 715-554-4224    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.