NICOLE MARIE CHISHOLM OTR/L
NPI 1013592542
Occupational Therapist - Pediatrics in Hudson, WI
About Nicole Marie Chisholm Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE MARIE CHISHOLM OTR/L (NPI 1013592542) is an individual pediatrics provider in Hudson, Wisconsin, licensed in Wisconsin (6936-26) and active in the NPI registry since March 2021.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nicole Marie Chisholm Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nicole Chisholm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Andover, MN 55304
- Reassigned Medicare billing, Minnesota enrollment
- 112 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nicole Chisholm's NPI number?
The NPI number for Nicole Chisholm is 1013592542. It was assigned to this individual provider in the NPPES registry on March 16, 2021.
Where is Nicole Chisholm located?
Nicole Chisholm practices at 2705 Enloe St, Hudson, WI 54016. The listed phone number is (715) 690-2600.
What is Nicole Chisholm's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.
Is Nicole Chisholm enrolled in Medicare?
Yes. Nicole Chisholm is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nicole Chisholm's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Chisholm reassigns Medicare benefits to Family Speech & Therapy Services, LLC (Andover, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Chisholm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Nicole Chisholm was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.