NICOLE M SCHWENSOW (NPI# 1467415273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467415273 |
| Entity Type | Individual |
| Full Name | NICOLE M SCHWENSOW |
| Credential | PA-C |
| Practice Address |
605 Sullivan Ave Circle MT 59215-7514 |
| Practice Telephone | 4064852063 |
| Mailing Telephone | 4064852063 |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2020-04-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 4056 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1753-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
1753-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1467415273 | 05 | |
| WI | 41992700 | 05 | |
| CO | KAISER COMMERCIAL NUMBER | 027170 | 01 |
| CO | 98476343 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3200 Pleasant Valley Rd, West Bend, WI 530959274 | 4142906720 | 4142906755 |
| 375 W River Woods Pkwy, Glendale, WI 532121080 | 4142906720 | 4142906755 |
| 2061 Cheyenne Ct, Grafton, WI 530249368 | 4142906720 | 4142906755 |
| 777 Bannock St, Denver, CO 80204 | 3036022714 | |
| W180n8085 Town Hall Rd, Menomonee Falls, WI 530513518 | 4142906720 | 4142906755 |
| 13111 N Port Washington Rd, Mequon, WI 530972416 | 4142906720 | 4142906755 |
| 2323 N Lake Dr, Milwaukee, WI 532114508 | 4142906720 | 4142906755 |
| 2900 12th Ave N Ste 400e, Billings, MT 591017514 | 4062386820 |
| Street Address |
605 SULLIVAN AVE |
| City | CIRCLE |
| State | MT |
| Zip Code | 59215-7514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881234185 | Mccone County Health Center Inc | Clinic/Center | 605 Sullivan Ave, Circle, MT 59215-7514 | 2020-01-14 |
| 1134554835 | Sue Good-brown | Registered Nurse | 605 Sullivan Ave, Circle, MT 59215-0047 | 2013-09-12 |
| 1114157823 | Shayna Phalen | Physical Therapist | 605 Sullivan Ave, Circle, MT 59215 | 2009-07-16 |
| 1770756439 | County of Mccone | Public Health or Welfare | 605 Sullivan Ave, Circle, MT 59215-0047 | 2008-04-02 |
| 1740464916 | Mccone County Health Center Inc | Physician Assistant | 605 Sullivan Ave, Circle, MT 59215-0278 | 2007-12-24 |
| 1396863965 | Patricia Wittkopp | Physician Assistant | 605 Sullivan Ave, Circle, MT 59215 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790803369 | Mccone County Health Center, Inc. | General Acute Care Hospital | 605 Sullivan Avenue, Circle, MT 59215 | 2007-03-26 |
| 1902405954 | County of Mccone School District #1 | Local Education Agency (LEA) | 1105 F Ave, Circle, MT 59215-0000 | 2020-10-21 |
| 1356679732 | Taylor D Spines Family Wellness Chiropractic Pllc | Chiropractor | 200 Highway 2 East, Suite C, Wolf Point, MT 59215-0462 | 2009-11-24 |
| 1073706321 | Redwater Valley Ambulance Service | Ambulance | 606 Sullivan Ave, Circle, MT 59215-0567 | 2007-08-21 |
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912505769 | Abigail Freeman | Physician Assistant | 4046 Sunstone St Unit B, Bozeman, MT 59718-3512 | 2020-10-14 |
| 1033724307 | Jeffrey Austin | Physician Assistant | 345 Coach Ln, Hamilton, MT 59840-9041 | 2020-09-13 |
| 1316556269 | Bronte Heath Schultz | Physician Assistant | 236 15th Ave S, Great Falls, MT 59405-4254 | 2020-07-27 |
| 1285255893 | Teryn Ashli Green | Physician Assistant | 212 5th Ave, Helena, MT 59601-4204 | 2020-05-05 |
| 1669013744 | Marissa Lisette Cadena | Physician Assistant | 16305 Highland Dr, Florence, MT 59833-6068 | 2019-09-30 |
| 1891269973 | Jason Enewold | Physician Assistant | 1424 Scott St, Missoula, MT 59802-2435 | 2019-01-11 |
| 1437626751 | Janel Lea Allison-shamblin | Physician Assistant | 1232 N 15th Ave Ste 1, Bozeman, MT 59715-3299 | 2018-10-24 |
| 1730664723 | Katrin Johanna Kahl | Physician Assistant | 5005 Pattee Canyon Rd, Missoula, MT 59803-1811 | 2018-09-26 |
| 1023591757 | Kaytlin G Deveney | Physician Assistant | 305 W Porphyry St Ste 100, Butte, MT 59701-2000 | 2018-09-09 |
| 1750862876 | Brett A Steinmetz | Physician Assistant | 3525 2nd Ave S, Great Falls, MT 59405-3513 | 2018-08-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.