Individual provider Active NPI

Jaime M Owens, NP

  • Nurse Practitioner
  • Minocqua, WI
National Provider Identifier
1205112877
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4646 Issued in WI
Practice address
9576 Hwy 70
Minocqua, WI 54548-9067
Phone
(715) 358-1819
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 163216 WI
Nurse Practitioner 363L00000X 4646 WI Primary

Addresses

Primary practice location

9576 Hwy 70
Minocqua, WI 54548-9067

Mailing address

9576 Hwy 70
Minocqua, WI 54548-9067
Phone (715) 358-1819

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cerner.direct.com

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111121000602 WI Practitioner - Nurse Practitioner 3779757141 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.03 of 100Reported as group
Quality
78.29
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
163216WIMDRegistered Nurse
4646WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 17, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Sep 28, 2020 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Oct 5, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 17, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 17, 2023 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 28, 2020 Accepting new patients
Memorial Hospital Inc CurrentSince Jan 17, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jan 17, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Sep 28, 2020 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Flambeau Hospital Inc CurrentSince Jan 17, 2023 Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3802 Oakwood Mall Dr
Eau Claire, WI 54701
Phone (715) 831-8130

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

9576 State Highway 70
Minocqua, WI 54548
Phone (715) 358-1000

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: jaime.owens@marshfieldclinichealthsystem.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/67ff075a-8289-4f2d-a8eb-5dc1f0d954ab/

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1205112877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9576 HWY 70",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489067",
            "telephone_number": "715-358-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9576 HWY 70",
            "city": "MINOCQUA",
            "state": "WI",
            "postal_code": "545489067",
            "telephone_number": "715-358-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JAIME",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "163216",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cerner.direct.com",
            "affiliation": "N",
            "address_1": "9576 Hwy 70",
            "city": "Minocqua",
            "state": "WI",
            "country_code": "US",
            "postal_code": "545489067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Minocqua, WI

Sources for this page

Verify at the official NPI Registry.