Individual provider

Ryan Jolly, ATC, EMT-B

Basic Emergency Medical Technician Athletic Trainer

Ryan Jolly, ATC, EMT-B is a Basic Emergency Medical Technician in Lake Geneva, WI, registered under NPI 1962916395. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is N1457 HILLSIDE RD, Lake Geneva, WI 53147. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

N1457 HILLSIDE RD, Lake Geneva, WI 53147 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
70108769 WI Basic Emergency Medical Technician primary

This provider holds licence 70108769 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Emergency Medical Technician, Basic covers

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. NUCC Health Care Provider Taxonomy, code 146N00000X
Emergency Medical Service Providers Emergency Medical Technician, Basic

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
146N00000X Basic Emergency Medical Technician 70108769 WI primary
2255A2300X Athletic Trainer Athletic Trainer

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1962916395 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 21, 2017
Last updatedNov 21, 2017
StatusActive
Sole proprietorYes
CredentialATC, EMT-B
Practice address N1457 HILLSIDE RD
Lake Geneva, WI 53147
(262) 248-4103
Mailing address 1028 S LAKE SHORE DR
Lake Geneva, WI 53147
This record was last updated on Nov 21, 2017, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1962916395 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 9 6 2 9 1 6 3 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 9 3 2 9 1 3 3 9

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1962916395?
NPI 1962916395 is the National Provider Identifier assigned to Ryan Jolly, ATC, EMT-B in Lake Geneva, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Basic Emergency Medical Technician cover?
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
How do I contact Ryan Jolly, ATC, EMT-B?
The phone number on file with NPPES is (262) 248-4103, last updated Nov 21, 2017. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1962916395 a valid number?
Yes. 1962916395 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.