Individual provider Active NPI

Jessica Elizabeth Wroblewski, R.N.

  • Registered Nurse
  • Menomonee Falls, WI
National Provider Identifier
1164706099
Registry record updated Dec 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
162900-30 Issued in WI
Practice address
N52W17284 Ridgewood Dr
Menomonee Falls, WI 53051-7847
Phone
(855) 855-2710
Fax
(855) 855-2710
NPI assigned
Oct 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 162900-30 WI Primary

Addresses

Primary practice location

N52W17284 Ridgewood Dr
Menomonee Falls, WI 53051-7847

Mailing address

PO Box 590
Brookfield, WI 53008-0590
Phone (855) 855-2710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
162900-30WIMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Fitnurse LLC Registered Nurse Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322956800000",
    "number": "1164706099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 590",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530080590",
            "telephone_number": "855-855-2710",
            "fax_number": "855-855-2710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N52W17284 RIDGEWOOD DR",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530517847",
            "telephone_number": "855-855-2710",
            "fax_number": "855-855-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WROBLEWSKI",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-11",
        "last_updated": "2011-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "162900-30",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.