Individual provider Active NPI

Jennifer Ann Winter, MD

  • Internal Medicine Physician
  • Fort Atkinson, WI
National Provider Identifier
1174726038
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
52532-20 Issued in WI
Practice address
1520 Madison Ave
Fort Atkinson, WI 53538-3100
Phone
(920) 563-5500
NPI assigned
Jun 7, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125-049195 IL
Pediatrics Physician 208000000X 53532-20 WI
Pediatrics Physician 208000000X 125-049195 IL
Internal Medicine Physician 207R00000X 52532-20 WI Primary

Addresses

Primary practice location

1520 Madison Ave
Fort Atkinson, WI 53538-3100

Mailing address

PO Box 249
Fort Atkinson, WI 53538-0249
Phone (920) 563-4466

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091105000008 WI Practitioner - Internal MedicinePractitioner - Pediatric Medicine 8224176631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Medical College of Wisconsin, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Healthcare IncGroup PAC ID 0840189718, 159 clinicians

Practice addresses (Care Compare)

1520 Madison Ave
Fort Atkinson, WI 53538-3100
Phone (920) 563-5500

Hospital & facility affiliations

  • Rainbow Hospice Care Hospice, Jefferson, WI, CCN 521555
  • Fort Memorial Hospital Hospital, Fort Atkinson, WI, CCN 520071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
52532-20WIMDInternal Medicine Physician
125-049195ILMDPediatrics Physician
53532-20WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Healthcare Inc CurrentSince Feb 1, 2016 Accepting new patients
Fort Healthcare Inc Current Accepting new patients
Prohealth Medical Group Inc Internal Medicine Past Accepting new patients

Locations

1520 Madison Ave
Fort Atkinson, WI 53538
Phone (920) 563-5500

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

512 Wilcox St
Fort Atkinson, WI 53538
Phone (920) 563-7366

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/
  • Direct secure messaging: jennifer.winter@direct.forthc.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1174726038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535380249",
            "telephone_number": "920-563-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 MADISON AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535383100",
            "telephone_number": "920-563-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINTER",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125-049195",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "53532-20",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125-049195",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "52532-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

Verify at the official NPI Registry.