Active NPI
Jean M Rosiak, APNP
- Nurse Practitioner
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 61991-030
- Practice address
- 945 N 12TH St
Milwaukee, WI 53233-1305 - Phone
- (414) 219-2000
- NPI assigned
- Aug 24, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2514-033 | WI | |
| Nurse Practitioner | 363L00000X | 61991-030 | WI | Primary |
Addresses
Primary practice location
945 N 12TH St
Milwaukee, WI 53233-1305
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
8675 N Port Washington Rd
Fox Point, WI 53217-2209
Phone (414) 352-2011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41260900 | Medicaid | WI |
Other names 1
- Jean M Pollack
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jrosiak9048@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050503000254 | WI | Practitioner - Nurse Practitioner | 3476592098 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aurora Medical Group, Inc.
Practice addresses (Care Compare)
8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone (414) 329-5930
Hospital & facility affiliations
- Aurora St Lukes Medical Center
- West Allis Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2514-033 | WI | MD | Nurse Practitioner |
| 61991-030 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Health Care Metro, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
945 N 12th St
Ste 102
Milwaukee, WI 53233
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233
2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590
945 N 12th St
Milwaukee, WI 53233
Phone (414) 219-5800
8675 N Port Washington Rd
Milwaukee, WI 53217
Phone (414) 352-2011
1575 N Rivercenter Dr
Milwaukee, WI 53212
Phone (414) 283-8444
8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000
Interoperability endpoints
- jrosiak9048@direct.myadvocateaurora.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- West Allis, WI
- NPI 1407801640
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1154438414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 N 12TH ST",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532331305",
"telephone_number": "414-219-2000"
}
],
"practiceLocations": [
{
"address_1": "8675 N Port Washington Rd",
"address_purpose": "LOCATION",
"city": "Fox Point",
"state": "WI",
"postal_code": "532172209",
"country_code": "US",
"telephone_number": "414-352-2011",
"fax_number": "414-351-7324",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSIAK",
"first_name": "JEAN",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-24",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "2514-033",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "61991-030",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41260900",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jrosiak9048@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "8675 N Port Washington Rd",
"city": "Fox Point",
"state": "WI",
"country_code": "US",
"postal_code": "532172209",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "8675 N Port Washington Rd",
"city": "Fox Point",
"state": "WI",
"country_code": "US",
"postal_code": "532172209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "JEAN",
"last_name": "POLLACK",
"middle_name": "M",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.