Active NPI
Jenna L Jozwik, NP
- Pediatric Nurse Practitioner
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 165560
- Practice address
- 9000 W Wisconsin Ave
Milwaukee, WI 53226 - Phone
- (414) 266-3464
- Fax
- (414) 266-3466
- NPI assigned
- Jul 22, 2010
- Last updated
- Feb 8, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 165560 | WI | Primary |
Addresses
Primary practice location
9000 W Wisconsin Ave
Milwaukee, WI 53226
Mailing address
9000 W Wisconsin Ave
Milwaukee, WI 53226-4874
Phone (414) 266-3464
Other practice location 1
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 805-5200
Other practice location 2
3195 Hillside Dr Fl 1
Delafield, WI 53018-2189
Phone (877) 607-5280
Other practice location 3
6809 122nd Ave
Kenosha, WI 53142-7335
Phone (262) 653-2260
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063725760 | Medicaid | WI |
Other names 1
- Jenna L Prigge
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 165560 | WI | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Children's Specialty Group, Inc. | Past | Accepting new patients |
Locations
3195 Hillside Dr
Fl 1
Delafield, WI 53018
Phone (877) 607-5280
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
9000 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 266-2625
9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000
Interoperability endpoints
- jprigge6770@direct.chw.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
-
- Pediatrics Physician
- Milwaukee, WI
- NPI 1942970405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549584000000",
"number": "1063725760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-3464",
"fax_number": "414-266-3466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53226",
"telephone_number": "414-266-3464",
"fax_number": "414-266-3466"
}
],
"practiceLocations": [
{
"address_1": "9200 W Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532263522",
"country_code": "US",
"telephone_number": "414-805-5200",
"fax_number": "414-259-0469",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3195 Hillside Dr Fl 1",
"address_purpose": "LOCATION",
"city": "Delafield",
"state": "WI",
"postal_code": "530182189",
"country_code": "US",
"telephone_number": "877-607-5280",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6809 122nd Ave",
"address_purpose": "LOCATION",
"city": "Kenosha",
"state": "WI",
"postal_code": "531427335",
"country_code": "US",
"telephone_number": "262-653-2260",
"fax_number": "262-653-2277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOZWIK",
"first_name": "JENNA",
"middle_name": "L",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-22",
"last_updated": "2019-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "WI",
"license": "165560",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1063725760",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "PRIGGE",
"middle_name": "L",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Milwaukee, WI
- Susan M Joyce, CNS
- Joyce's Caring Touch Home Health LLC
- Joyce's House of Milwaukee (Joyce's House)
- Laronda Felisa Joyner, LPN
- Anna Jozefiak, PHARMD
- JQD (Little Feet family Resource Center)
- Jr. Transportation LLC
- Jream Vision Prenatal Care
- Juanita's Residenital Care LLC
- Christopher Michael Juarez, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.