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Jill M Nisbit

  • Female

Medical Specialty

Professional ID

  • NPI: 1518973395
  • PECOS ID: 4981686870
  • Enrollment ID: I20050201000318
  • Credential(MD, DO, DPM): CNA
  • Medical School: Mayo Medical School
  • Medical School Graduation Year: 2004

Hospital Service

  • Hospital CCN1: 520011
  • Business Name (LBN)1: Lakeview Medical Center

Medical Practices

  • Organization Name: Marshfield Clinic Inc
  • Group Practice ID assigned by PECOS: 2264345206
  • Number of Group Practice member: 1157

Location

  • Address1: 1700 W Stout St
  • Address2: Lakeview Med Ctr Outpt
  • City: Rice Lake
  • State: Wisconsin
  • Zip Code: 54868
  • Phone Number: (715)236-8100

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):