Timothy P Nickell, PAC
Timothy P Nickell, PAC is a Physician Assistant in Rice Lake, Wisconsin. Qualified in 2011, 15 years ago. Practices with Mayo Clinic Health System-Northwest Wisconsin Region Inc, a 799-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.
- Years since qualifying
- 15
- Licensed in
- WI
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- PAC — Physician Assistant, Certified
- A physician assistant holding current national certification; usually written PA-C.
Practice location Address checks out
331 S Main StRice Lake, WI 54868-2253
Phone: (715) 236-8500
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (2)
- 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511
- 265 Griffin St E, Amery, WI 54001-1439 — (715) 635-2151
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2892 (WI) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 2892-23 (WI) |
Record details
| NPI number | 1346516044 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PAC |
| Sole proprietor | No |
| NPI enumerated | March 27, 2012 |
| Last updated in NPPES | February 3, 2021 |
| Certification date | February 3, 2021 |
| Mailing address | 200 1st St Sw, Rochester, MN 55905-0001 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Mayo Clinic Health System-Northwest Wisconsin Region Inc — 799 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 5 on file with Medicare |
Other providers in Rice Lake
-
MS. Kay Loree Case, PA-C
331 S Main St Ste H, Rice Lake, WI 54868-2253 · (715) 838-5222
-
Rebecca Jenn Eder, PA-C
1215 W Knapp St, Rice Lake, WI 54868-1307 · (218) 391-8704
-
Dennis Charles Flood, PA
1700 W Stout St, Rice Lake, WI 54868-5000 · (715) 234-1515