TIMOTHY P NICKELL PAC
NPI 1346516044
Physician Assistant in Rice Lake, WI

Active since March 27, 2012PECOS EnrolledAccepts Medicare Assignment
331 S MAIN ST, RICE LAKE, WI 54868(715) 236-8500 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2021, Jan 18, 2021 (2 updates tracked since 2021).

About Timothy P Nickell Pac NPPES

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

TIMOTHY P NICKELL PAC (NPI 1346516044) is an individual physician assistant in Rice Lake, Wisconsin, licensed in Wisconsin (2892) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System Eau Claire Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1346516044
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTIMOTHY P NICKELLCredential: PAC
Location Address331 S MAIN STRice Lake, WI 54868-2253
Mailing Address200 1st St SwRochester, MN 55905-0001 · (715) 838-5222
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMarch 27, 2012
Last NPPES UpdateFebruary 3, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
NPI 1346516044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 2892
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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 2892-23 (WI)
331 S MAIN ST, Rice Lake, WI 54868

Secondary Practice Locations 2

Location 1265 Griffin St EAmery, WI 54001-1439 · Phone (715) 635-2151
Location 2200 1st St SWRochester, MN 55905-0001 · Phone (507) 284-2511

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Timothy P Nickell Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921260985
PECOS Enrollment IDI20120509000050
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520070
Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County
Emergency services Birthing friendly

Mayo Clinic Health System Chippewa Valley

Critical Access Hospitals · Bloomer, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521314
Location1501 Thompson StBloomer, WI 54724 · Chippewa County
Emergency services

Mayo Clinic Health System-Northland

Critical Access Hospitals · Barron, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521315
Location1222 E Woodland AveBarron, WI 54812 · Barron County
Emergency services

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521336
Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54868 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
14 suppliers54 claims161 services$6.05 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers23 claims30 services$1.06 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers37 claims37 services$8.07 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers23 claims23 services$119.34 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers20 claims20 services$38.25 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers14 claims14 services$169.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Marriage & Family Therapist
331 S MAIN ST
RICE LAKE, WI 54868
Occupational Therapist
331 S MAIN ST
RICE LAKE, WI 54868
Speech-Language Pathologist
331 S MAIN ST
RICE LAKE, WI 54868
Social Worker (Clinical)
331 S MAIN ST
RICE LAKE, WI 54868
Physical Therapist
331 S MAIN ST
RICE LAKE, WI 54868
Specialist/Technologist (Athletic Trainer)
331 S MAIN ST
RICE LAKE, WI 54868
Physical Therapist
331 S MAIN ST, SUITE H
RICHE LAKE, WI 54868
Family Medicine
331 S MAIN ST
RICE LAKE, WI 54868

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 Timothy Nickell's NPI number?

The NPI number for Timothy Nickell is 1346516044. It was assigned to this individual provider in the NPPES registry on March 27, 2012.

Where is Timothy Nickell located?

Timothy Nickell practices at 331 S Main St, Rice Lake, WI 54868. The listed phone number is (715) 236-8500.

What is Timothy Nickell's specialty?

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

Is Timothy Nickell enrolled in Medicare?

Yes. Timothy Nickell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Timothy Nickell accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica and Security Health Plan list Timothy Nickell 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.

Is Timothy Nickell affiliated with any hospitals?

According to CMS data, Timothy Nickell is affiliated with Mayo Clinic Health System Eau Claire Hospital, Mayo Clinic Health System Chippewa Valley, Mayo Clinic Health System-Northland and Tamarack Health Hayward Medical Center.

When was this NPI record last updated?

The NPPES record for Timothy Nickell was last updated on February 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.