Jane Klemmer, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1665-33 Issued in WI

Practice address

377 W River Woods Pkwy Ste 201
Glendale, WI 53212-1088

Phone

(414) 323-6880

Fax

(414) 539-3651

NPI assigned

Jun 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

Credentials

Master of Science, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8309/brand/1/csg/1/fhir/r4

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.

• Cleanslate Medical Group of Wisconsin, SC

  • Addiction Medicine (Internal Medicine) Physician
  • Glendale, WI
  • NPI 1518404854
  Medicare reassignment NPD
• Eastport Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Eastport, ME
  • NPI 1093752917
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1265474100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 N LITCHFIELD RD STE 120",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853959214",
            "telephone_number": "623-536-0707",
            "fax_number": "623-536-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 W RIVER WOODS PKWY STE 201",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532121088",
            "telephone_number": "414-323-6880",
            "fax_number": "414-539-3651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15021 W Bell Rd Ste 125",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853743916",
            "country_code": "US",
            "telephone_number": "623-476-7880",
            "fax_number": "602-347-6789",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEMMER",
        "first_name": "JANE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1989",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1665-33",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ME",
            "license": "AP101036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Kirst, OTR
• Kirsten J Simanonok MDSC
• Paige Christine Kitzing, DMD
• James G Klamik, MD
• Theresa A. Klein, APNP
• Scott Wayne Knuth, OTR
• Mharajoy S Kobinah, APNP
• Jeffrey Kobinsky
• Melinda Koenig
• Stanislav Kononov, LMT

• Family Nurse Practitioner in Glendale, WI
• Providers in Glendale, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.