JENNIFER L FICK (NPI# 1932182177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932182177 |
| Entity Type | Individual |
| Full Name | JENNIFER L FICK |
| Other Name | JENNIFER L NOLDEN |
| Credential | PA-C |
| Practice Address |
W183s8750 Racine Ave Muskego WI 53150-8067 |
| Mailing Address |
W183 S8750 Racine Ave Muskego WI 53150 |
| Practice Telephone | 2629711798 |
| Practice Fax Number | 2626791378 |
| Mailing Telephone | 2629711798 |
| Mailing Fax Number | 2626791378 |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2017-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
748-023 | WI | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 748-23 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 748023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1932182177 | 05 | |
| WI | BCBSWI | 1932182177 | 01 |
| WI | 42946900 | 05 | |
| WI | MERCYCARE INSURANCE | NOLDEJEN | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285061952 | Jennifer Helen Fick | Registered Nurse | 450 Sutter St Rm 1520, San Francisco, CA 94108-4011 | 2013-09-26 |
| 1457846230 | Jennifer Tilley Fick | Nurse Practitioner | 4600 Shelbyville Rd Ste 220, Louisville, KY 40207-3398 | 2018-06-25 |
| Street Address |
W183S8750 RACINE AVE |
| City | MUSKEGO |
| State | WI |
| Zip Code | 53150-8067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093176661 | Healthstat Onsite Clinic Muskego Norway | Preventive Medicine | W183s8750 Racine Ave, Muskego, WI 53150-8067 | 2016-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003238213 | Forefront Dermatology, S.c. | Dermatology | S.69 W.15472 Janesville Road, Muskego, WI 53150 | 2014-01-08 |
| 1538590815 | Quirt Family Dentistry, Sc | Dentist | S69 W 15466 Janesville Rd, Muskego, WI 53150 | 2013-12-11 |
| 1093015273 | Angela Margaret Havaich | Registered Nurse | W189 S6940 Lembezeder Ct., Muskego, WI 53150 | 2010-10-22 |
| 1598073108 | Wal-mart Stores East Lp | Technician/Technologist | W159 S6530 Moorland, Muskego, WI 53150 | 2010-09-16 |
| 1477741585 | Lisa Jean Schneider | Audiologist | S64w13838 Jamesville Road, Muskego, WI 53150 | 2007-10-15 |
| 1134349210 | Quality Home Health Care Inc | Home Health | W125 S7554 Coventry Ln, Muskego, WI 53150 | 2007-04-30 |
| 1073631016 | Christine Joanne Schaefer | Physical Therapist | W12929 Mcshane Dr, Muskego, WI 53150 | 2007-03-27 |
| 1508922196 | Joan Marie Rasque | Licensed Practical Nurse | S70w17495 Forest Dr, Muskego, WI 53150 | 2006-12-28 |
| 1821153131 | Christopher Daniel Culligan | Chiropractor | S74 W16845 Janesville Rd., Muskego, WI 53150 | 2006-12-27 |
| 1306881594 | Muskego Nursing Home Inc. | Nursing Facility/Intermediate Care Facility | S. 77-w. 18690 Janesville Rd, Muskego, WI 53150 | 2006-06-19 |
| Find all providers in zip 53150 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851717698 | Carl Zenz | Preventive Medicine | S75w20937 Field Dr, Muskego, WI 53150-8934 | 2014-03-17 |
| 1093176661 | Healthstat Onsite Clinic Muskego Norway | Preventive Medicine | W183s8750 Racine Ave, Muskego, WI 53150-8067 | 2016-03-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093226144 | Healthstat Onsite Clinic Hsm Sheboygan | Preventive Medicine | 2216 S 24th St, Sheboygan, WI 53081-5548 | 2017-10-17 |
| 1467982751 | Healthstat Onsite Clinic Elmbrook School District | Preventive Medicine | 17000 W North Ave Ste 100e, Brookfield, WI 53005-4454 | 2017-06-19 |
| 1700315033 | Healthstat Onsite Clinic City of Racine | Preventive Medicine | 2333 Northwestern Ave Ste 114, Racine, WI 53404-2520 | 2017-06-09 |
| 1790224780 | Healthstat Onsite Clinic-alm Consolidated | Preventive Medicine | 920 10th Ave N Ste Wellness, Onalaska, WI 54650-2166 | 2017-02-23 |
| 1558805689 | Healthstat Onsite Clinic Alm Holdings | Preventive Medicine | 920 10th Ave N, Onalaska, WI 54650-2166 | 2016-12-08 |
| 1619411733 | Healthstat Onsite Clinic Jj Keller Appleton | Preventive Medicine | 5 Innovation Ct, Appleton, WI 54914-1742 | 2016-12-08 |
| 1083640502 | Constantine Dumas | Preventive Medicine | 2009 S Memorial Dr, Appleton, WI 54915-1222 | 2006-06-25 |
| 1710950266 | Jean Deuster | Preventive Medicine | 20611 Watertown Rd Ste J, Waukesha, WI 53186-1871 | 2006-02-07 |
| 1497726392 | Joseph Michael Zompa | Preventive Medicine | 3000 N Grandview Blvd, W-685, Waukesha, WI 53188-1615 | 2006-01-30 |
| 1568442416 | James Francis Mayr | Preventive Medicine | 8555 West Forest Home Avenue, American Industrial Medical - Suite 205, Greenfield, WI 53228-3408 | 2006-01-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JENNIFER L FICK.
| 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.