Active NPI
Jennifer Jean Ford, FNP-C
- Family Nurse Practitioner
- Fond Du Lac, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 16485-33
- Practice address
- 295 Hillcrest LN
Fond Du Lac, WI 54935-4730 - Phone
- (920) 904-5539
- NPI assigned
- Feb 26, 2025
- Last updated
- Dec 4, 2025
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 16485-33 | WI | Primary |
Addresses
Primary practice location
295 Hillcrest LN
Fond Du Lac, WI 54935-4730
Mailing address
295 Hillcrest LN
Fond Du Lac, WI 54935-4730
Phone (920) 904-5539
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100371007 | Medicaid | WI |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jford89109@direct.myadvocateaurora.org | Direct | |
| CONNECT URL | https://esmd.abilitynetwork.com:8291/Gateway/Documentsubmission/2_0/Nhinservice/XDRRequest_Service | Other | Ability Network |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | jford493093@ewd.direct.hshs.org | Direct |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1411 N Taylor Dr
Sheboygan, WI 53081-3043
Phone (920) 457-4858
855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16485-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current | Accepting new patients | |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current | Accepting new patients | |
| St. Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Family | Current | Accepting new patients |
| St Vincent Hospital-Hospital Sisters-Third Order of St Francis | Current | Accepting new patients | |
| Prevea Clinic, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| St Nicholas Hospital-Sisters of the Third Order of St Francis | Current | Accepting new patients | |
| Prevea Clinic, Inc. | Current | Accepting new patients | |
| Aurora Quick Care, LLC | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients |
Locations
210 Wisconsin American Dr
Fond du Lac, WI 54937
Phone (920) 907-7000
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643
9201 Washington Ave
Racine, WI 53406
Phone (262) 504-5471
1411 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 457-1600
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
Interoperability endpoints
- jford493093@ewd.direct.hshs.org
- jford89109@direct.myadvocateaurora.org
Organizations & group practices 12
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.
-
dba Prevea Sheboygan Health Center
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1275799413
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Nurse Practitioner
- Mequon, WI
- NPI 1609820729
-
- Internal Medicine Physician
- Green Bay, WI
- NPI 1306869276
-
dba Prevea Health
- General Practice Physician
- Green Bay, WI
- NPI 1285613638
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
- Family Medicine Physician
- Chippewa Falls, WI
- NPI 1588110969
-
dba St Nicholas Hospital Professional Services Group
- Nurse Practitioner
- Sheboygan, WI
- NPI 1275943243
Family
-
dba St. Nicholas Hospital
- Internal Medicine Physician
- Sheboygan, WI
- NPI 1447737762
-
dba Prevea Health ENT
- Otolaryngology Physician
- Shawano, WI
- NPI 1194314013
-
dba Prevea Health
- Durable Medical Equipment & Medical Supplies
- Green Bay, WI
- NPI 1245042530
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1275578064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764806400000",
"number": "1255138483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "295 HILLCREST LN",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549354730",
"telephone_number": "920-904-5539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 HILLCREST LN",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549354730",
"telephone_number": "920-904-5539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "JENNIFER",
"middle_name": "JEAN",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-26",
"last_updated": "2025-12-04",
"certification_date": "2025-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "16485-33",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100371007",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jford89109@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "210 Wisconsin American Dr",
"city": "Fond Du Lac",
"state": "WI",
"country_code": "US",
"postal_code": "549372999",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/Documentsubmission/2_0/Nhinservice/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"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": "210 Wisconsin American Dr",
"city": "Fond Du Lac",
"state": "WI",
"country_code": "US",
"postal_code": "549372999",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jford493093@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "1411 N Taylor Dr",
"city": "Sheboygan",
"state": "WI",
"country_code": "US",
"postal_code": "530813043",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fond Du Lac, WI
- Fond Du Lac Prescription Center, LTD (Consumer Prescription Center)
- Fond Du Lac Psychiatry LLC
- Fond Du Lac School District
- Fond Du Lac Surgery Center, LLC
- Fondy Family Dental
- Forefront Dermatology, S.C.
- Vanessa Forqurean, LPN/RCS
- Stephen P Forsyth, DMD
- Fountain City Surgical Associates
- Fountain City Surgical Associates S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.