Individual provider Active NPI

Jennifer J Nicpon, APNP

  • Nurse Practitioner
  • New Berlin, WI
National Provider Identifier
1295842649
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
123495-030 Issued in WI
Practice address
12901 W National Ave
New Berlin, WI 53151-4063
Phone
(262) 787-5200
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1337-033 WI
Nurse Practitioner 363L00000X 123495-030 WI Primary

Addresses

Primary practice location

12901 W National Ave
New Berlin, WI 53151-4063

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 325-2250

Other practice location 1

W231 N1440 Corporate Ct
Waukesha, WI 53186
Phone (262) 896-6000

Other identifiers 1

IdentifierTypeStateIssuer
43892800MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address jnicpon13345@direct.myadvocateaurora.org

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
I20041229000181 WI Practitioner - Nurse Practitioner 6204894843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

W231 N1440 Corporate Court
Waukesha, WI 53186-1303
Phone (262) 896-6070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123495-030WIMDNurse Practitioner
1337-033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jun 2, 2003 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jun 2, 2003 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Aurora Quick Care, LLC Nurse Practitioner PastSince Jun 28, 2017 Accepting new patients

Locations

2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200

1004 E Sumner St
Hartford, WI 53027
Phone (262) 670-7000

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

1061 E Commerce Blvd
Slinger, WI 53086
Phone (262) 644-2900

W231N1440 Corporate Ct
#305
Waukesha, WI 53186

W231N1440 Corporate Ct
Waukesha, WI 53186
Phone (262) 896-6000

Interoperability endpoints

  • Direct secure messaging: jnicpon13345@direct.myadvocateaurora.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1295842649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-325-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12901 W NATIONAL AVE",
            "city": "NEW BERLIN",
            "state": "WI",
            "postal_code": "531514063",
            "telephone_number": "262-787-5200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "W231 N1440 Corporate Ct",
            "address_purpose": "LOCATION",
            "city": "Waukesha",
            "state": "WI",
            "postal_code": "53186",
            "country_code": "US",
            "telephone_number": "262-896-6000",
            "fax_number": "262-896-3921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICPON",
        "first_name": "JENNIFER",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1337-033",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "123495-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43892800",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "W231 N1440 Corporate Ct",
            "city": "Waukesha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53186",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jnicpon13345@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "W231 N1440 Corporate Ct",
            "city": "Waukesha",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Berlin, WI

Sources for this page

Verify at the official NPI Registry.