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JOLLEEN MARY NICHOLS DNP
NPI 1770134892
Nurse Practitioner in Clear Lake, WI

Active since September 20, 2019PECOS EnrolledAccepts Medicare Assignment
357 THIRD AVE, CLEAR LAKE, WI 54005(715) 268-8000 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2025, Oct 3, 2019, Sep 20, 2019 (3 updates tracked since 2019).

About Jolleen Mary Nichols Dnp NPPES

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

JOLLEEN MARY NICHOLS DNP (NPI 1770134892) is an individual nurse practitioner in Clear Lake, Wisconsin, licensed in Wisconsin (9572) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Lakeview Memorial Hospital, and maintains a secondary practice location in Amery.

NPPES Registry Identity

NPI1770134892
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJOLLEEN MARY NICHOLSCredential: DNP
Location Address357 THIRD AVEClear Lake, WI 54005
Mailing Address8170 33rd Ave S, Ms 21110qBloomington, MN 55425
Phone(715) 268-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 20, 2019
Last NPPES UpdateNovember 13, 20253 updates tracked since enumeration
NPPES CertifiedNovember 13, 2025
✔ NPI 1770134892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 9572
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 9572 (WI)
357 THIRD AVE, Clear Lake, WI 54005
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Secondary Practice Location 1

Location 1265 Griffin St EAmery, WI 54001-1439 · Phone (715) 268-8000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica and more.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

Jolleen Mary Nichols Dnp 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 ID4082046271
PECOS Enrollment IDI20191108000520
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 2

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

Lakeview Memorial Hospital

Acute Care Hospitals · Stillwater, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number240066
Location927 West Churchill StreetStillwater, MN 55082 · Washington County
Emergency services Birthing friendly

Amery Hospital & Clinic

Critical Access Hospitals · Amery, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521308
Location265 Griffin Street EastAmery, WI 54001 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54005 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
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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 5

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
2 suppliers31 claims55 services$5.62 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims44 services$3.77 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims6,755 services$0.37 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.82 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
4 suppliers14 claims14 services$184.60 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

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

AMERY REGIONAL MEDICAL CENTER, INC
Clinic/Center (Rural Health)
357 THIRD AVE
CLEAR LAKE, WI 54005
Polk County (715) 268-8000

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 Jolleen Nichols's NPI number?

The NPI number for Jolleen Nichols is 1770134892. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Where is Jolleen Nichols located?

Jolleen Nichols practices at 357 Third Ave, Clear Lake, WI 54005. The listed phone number is (715) 268-8000.

What is Jolleen Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jolleen Nichols enrolled in Medicare?

Yes. Jolleen Nichols 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 Jolleen Nichols accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Security Health Plan list Jolleen Nichols 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 Jolleen Nichols affiliated with any hospitals?

According to CMS data, Jolleen Nichols is affiliated with Lakeview Memorial Hospital and Amery Hospital & Clinic.

When was this NPI record last updated?

The NPPES record for Jolleen Nichols was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.