Nicole Marie Chisholm, OTR/L - Medicare Occupational Therapist in Hudson, WI

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Nicole Marie Chisholm, OTR/L is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Hudson, Wisconsin. Her current practice location is 2705 Enloe St, Hudson, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 690-2600.

Nicole Marie Chisholm is licensed to practice in Wisconsin (license number 6936-26) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1013592542.

Contact Information

Nicole Marie Chisholm, OTR/L
2705 Enloe St,
Hudson, WI 54016-8173
(715) 690-2600
(715) 381-8131

Map and Direction




Healthcare Provider's Profile

Full NameNicole Marie Chisholm
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location2705 Enloe St, Hudson, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013592542
  • Provider Enumeration Date: 03/16/2021
  • Last Update Date: 01/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2961810510
  • Enrollment ID: I20210809003052

Medical Identifiers

Medical identifiers for Nicole Marie Chisholm such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013592542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 6936-26 (Wisconsin)Primary

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. Nicole Marie Chisholm allows following entities to bill medicare on her behalf.
Provider NameFamily Speech & Therapy Services Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235285966
PECOS PAC ID: 8022335397
Enrollment ID: O20150325001650

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. Nicole Marie Chisholm 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
Nicole Marie Chisholm, OTR/L
2705 Enloe St,
Hudson, WI 54016-8173

Ph: (715) 690-2600		Nicole Marie Chisholm, OTR/L
2705 Enloe St,
Hudson, WI 54016-8173

Ph: (715) 690-2600

Reviews and Comments


Occupational Therapist in Hudson, WI

Abbigail Joy Mertig, MA, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 742 Sterbenz Dr, St Croix Therapy Inc, Hudson, WI 54016
Phone: 715-386-2128    Fax: 715-386-6119
Caroline Kay Williamson, OTR L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2705 Enloe St, Hudson, WI 54016
Phone: 715-386-2128    
Jennifer Marie Cook, BSW, MA OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 742 Sterbenz Dr, St Croix Therapy Inc, Hudson, WI 54016
Phone: 715-386-2128    Fax: 715-386-6119
Caroline Mccleary,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 742 Sterbenz Dr, Hudson, WI 54016
Phone: 715-386-2128    
Alecia Lyn Dadez,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 742 Sterbenz Dr, Hudson, WI 54016
Phone: 715-386-2128    
Joshua Allan Albarado, OTR/L, CHT
Occupational Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2651 Hillcrest Dr Ste 101, Hudson, WI 54016
Phone: 800-423-1088    Fax: 651-275-2795

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.