Kimberly Marie Janecek, APNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

14720-33 Issued in WI

Practice address

8733 Bridge St
Cedarburg, WI 53012-9355

Phone

(262) 387-0071

NPI assigned

Nov 9, 2023

Last updated

Nov 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Integrity Senior Health

  • Geriatric Medicine (Family Medicine) Physician
  • Mount Pleasant, WI
  • NPI 1710486121
  Medicare reassignment NPD

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1265206213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8733 BRIDGE ST",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530129355",
            "telephone_number": "262-229-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8733 BRIDGE ST",
            "city": "CEDARBURG",
            "state": "WI",
            "postal_code": "530129355",
            "telephone_number": "262-387-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANECEK",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "14720-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ideal Physical Therapy LLC
• Daniel Jablonski, MD
• Therese L. Jaeckle, MSN, APNP
• Jaime D. Cabatingan, M.D.,S.C.
• Jaime D. Cabatingan, M.D.,S.C.
• Janice Alexander RN, MD,SC
• John Richard Jankowski, R.PH.
• Angela Marie Jiracek, PTA
• Ann V. John, OTR
• Alan L Johnson, DC

• Psychiatric/Mental Health Nurse Practitioner in Cedarburg, WI
• Providers in Cedarburg, WI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.