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JEFFREY GERARD NICHOLSON PA
NPI 1326018904
Physician Assistant in Brookfield, WI

Active since January 25, 2006
19035 W CAPITOL DR, SUITE 101, BROOKFIELD, WI 53045(262) 754-1421(262) 754-3760 Get Directions Write a Review

NPPES record last updated: August 17, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 17, 2017, Jan 27, 2016 (2 updates tracked since 2016).

About Jeffrey Gerard Nicholson Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEFFREY GERARD NICHOLSON PA (NPI 1326018904) is an individual physician assistant in Brookfield, Wisconsin, licensed in Wisconsin (904-023) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1326018904
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJEFFREY GERARD NICHOLSONCredential: PA
Location Address19035 W CAPITOL DR, SUITE 101Brookfield, WI 53045-2755
Mailing Address7033 Wellauer DrMilwaukee, WI 53213-3734 · (414) 517-6915 · Fax (414) 877-1700
Phone(262) 754-1421
Fax(262) 754-3760
Sole ProprietorYes
Enumeration DateJanuary 25, 2006
Last NPPES UpdateAugust 17, 20172 updates tracked since enumeration
✔ NPI 1326018904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 904-023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
19035 W CAPITOL DR, Brookfield, WI 53045
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Other Identifiers 5

Medicare UPINS80210
Medicaid42981400WI
OtherWI1826001WI · Medcare Ptan
Medicare PIN003502905WI
Medicare PIN005401473WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKFIELD VISION CENTER, S.C.
Optometrist
19035 W CAPITOL DR, SUITE 106
BROOKFIELD, WI 53045
Waukesha County (262) 754-4880
TOWNE CENTRE MEDICAL, S.C.
Internal Medicine
19035 W CAPITOL DR, SUITE 101
BROOKFIELD, WI 53045
Waukesha County (262) 754-1421
DR. SALY THI TRAN O.D.
Optometrist
19035 W CAPITOL DR, SUITE 106
BROOKFIELD, WI 53045
Waukesha County (262) 754-4880
MILWAUKEE CLINIC OF ORTHO SURGERY LTD
Orthopaedic Surgery
19035 W CAPITOL DR, SUITE 101
BROOKFIELD, WI 53045
Waukesha County (414) 321-8960
DR. BARBARA A HORNER-IBLER MD
Internal Medicine
19035 W CAPITOL DR, #101
BROOKFIELD, WI 53045
Waukesha County (262) 754-1421
MICHAEL P GOSS MD
Family Medicine
19035 W CAPITOL DR, SUITE 101
BROOKFIELD, WI 53045
Waukesha County (262) 754-1421
DR. JASON LEE VARNER O.D.
Optometrist
19035 W CAPITOL DR, SUITE 106
BROOKFIELD, WI 53045
Waukesha County (262) 754-4880
DCDO, INC.
Clinic/Center
19035 W CAPITOL DR, SUITE 100
BROOKFIELD, WI 53045
Waukesha County (262) 695-6744

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 Jeffrey Nicholson's NPI number?

The NPI number for Jeffrey Nicholson is 1326018904. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is Jeffrey Nicholson located?

Jeffrey Nicholson practices at 19035 W Capitol Dr Suite 101, Brookfield, WI 53045. The listed phone number is (262) 754-1421.

What is Jeffrey Nicholson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

What insurance does Jeffrey Nicholson accept?

Health plans from CareSource (Common Ground Healthcare) list Jeffrey Nicholson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeffrey Nicholson was last updated on August 17, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.