NPIMap

Individual provider Active NPI

Jennifer I Jordan, APNP

  • Family Nurse Practitioner
  • Rhinelander, WI
National Provider Identifier
1255739470
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
6141-33 Issued in WI
Practice address
2251 N Shore Dr
Suite 200
Rhinelander, WI 54501-6710
Phone
(715) 361-4700
NPI assigned
Dec 22, 2014
Last updated
Nov 18, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6141-33 WI Primary

Addresses

Primary practice location

2251 N Shore Dr
Suite 200
Rhinelander, WI 54501-6710

Mailing address

2251 N Shore Dr
Suite 200
Rhinelander, WI 54501-6710
Phone (715) 361-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150330000620 WI Practitioner - Nurse Practitioner 1850618901 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
3D Healthcare Consulting LLCGroup PAC ID 1658634621, 7 clinicians

Practice addresses (Care Compare)

200880 Canopy LN
Rosholt, WI 54473-6705
Phone (715) 439-3084

201 Hospital Rd
Eagle River, WI 54521-8835
Phone (715) 479-7411

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
80.64
Promoting interoperability
100
Improvement activities
40
Cost
74.66

Merit-based Incentive Payment System (MIPS)

Final score
87.84 of 100Reported as group
Quality
86.21
Promoting interoperability
100
Improvement activities
40
Cost
73.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Feb 1, 2018 Accepting new patients
The Howard Young Medical Center, Inc. CurrentSince Jun 2, 2015 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Mar 9, 2015 Accepting new patients
The Howard Young Medical Center, Inc. Current Accepting new patients
Aspirus Eagle River Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Mar 9, 2015 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Feb 1, 2018 Accepting new patients
Maple Medical SC CurrentSince Oct 1, 2024 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin CurrentSince Mar 31, 2022 Accepting new patients
Oak Medical SC CurrentSince Oct 1, 2024 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Mar 31, 2022 Accepting new patients
Aspirus Eagle River Hospital, Inc. CurrentSince Mar 8, 2015 Accepting new patients
3D Healthcare Consulting LLC Family CurrentSince Mar 1, 2025 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000

700 Clark St
Lodi, WI 53555
Phone (608) 592-3241

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

2251 N Shore Dr
Ste 200
Rhinelander, WI 54501
Phone (715) 361-4634

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447804800000",
    "number": "1255739470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2251 N SHORE DR",
            "address_2": "SUITE 200",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545016710",
            "telephone_number": "715-361-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2251 N SHORE DR",
            "address_2": "SUITE 200",
            "city": "RHINELANDER",
            "state": "WI",
            "postal_code": "545016710",
            "telephone_number": "715-361-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "JENNIFER",
        "middle_name": "I",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2015-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6141-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rhinelander, WI

Sources for this page

Verify at the official NPI Registry.