Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jamie Nichols, PA

Individual provider Physician Assistant · NPI 1295515724

Jamie Nichols, PA is a Physician Assistant in Waukesha, Wisconsin. Graduated from Nova Southeastern Univ College of Dental Medicine in 2023, 3 years ago. Practices with Moreland Ear Nose and Throat Group Ltd, a 13-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Trained at
Nova Southeastern Univ College of Dental Medicine
Licensed in
WI
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1111 Delafield St Ste 102
Waukesha, WI 53188-3402
Phone: (262) 683-8455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 195 Discovery Dr, Brookfield, WI 53045-2862 — (262) 683-8455
  • 240 Maple Ave, Mukwonago, WI 53149-8475 — (262) 683-8455
  • 13900 W National Ave, New Berlin, WI 53151-9515 — (262) 683-8455
  • 1185 Corporate Center Dr Ste 205, Oconomowoc, WI 53066-4887 — (262) 683-8455

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7652-23 (WI)

Record details

NPI number1295515724
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 2, 2023
Last updated in NPPESNovember 18, 2024
Certification dateNovember 18, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolNOVA SOUTHEASTERN UNIV COLLEGE OF DENTAL MEDICINE
Graduated 2023 (3 years in practice)
Group practice Moreland Ear Nose And Throat Group Ltd — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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