Individual provider Active NPI

Jolie A Nottelson, NP

  • Nurse Practitioner
  • Madison, WI
National Provider Identifier
1750675781
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
119824 Issued in WI
Practice address
600 Highland Ave
Madison, WI 53792-1273
Phone
(608) 263-7502
NPI assigned
Jun 7, 2011
Last updated
May 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 119824 WI Primary

Addresses

Primary practice location

600 Highland Ave
Madison, WI 53792-1273

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

601 Handeyside Ln
Fort Atkinson, WI 53538-1273
Phone (920) 563-5544

Other practice location 2

6630 University Ave
Middleton, WI 53562-3036
Phone (608) 263-6540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110817000882 WI Practitioner - Nurse Practitioner 1951570498 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Fort Healthcare Inc CurrentSince Jan 22, 2017 Accepting new patients
Fort Healthcare Inc Nurse Practitioner Current Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince May 6, 2024 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince May 6, 2024 Accepting new patients
Fort Healthcare, Inc. CurrentSince Jan 22, 2017 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

6630 University Ave
Middleton, WI 53562
Phone (608) 263-6540

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: jnottelson1064496@direct.unitypoint.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1750675781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVE",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537921273",
            "telephone_number": "608-263-7502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Handeyside Ln",
            "address_purpose": "LOCATION",
            "city": "Fort Atkinson",
            "state": "WI",
            "postal_code": "535381273",
            "country_code": "US",
            "telephone_number": "920-563-5544",
            "fax_number": "920-563-8884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6630 University Ave",
            "address_purpose": "LOCATION",
            "city": "Middleton",
            "state": "WI",
            "postal_code": "535623036",
            "country_code": "US",
            "telephone_number": "608-263-6540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOTTELSON",
        "first_name": "JOLIE",
        "middle_name": "A",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-07",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "119824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.