Jane M Poeschel, NP

Individual provider Active NPI Nurse Practitioner · Durand, WI

NPI 1316907231 · NPPES record last updated Mar 7, 2023

Key facts

NPI
1316907231
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
1489 (WI)
Practice address
1250 3Rd Ave W
Durand, WI 54736-1600
Phone
(715) 672-5233
Fax
(715) 672-3047
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chippewa Valley Hospital and Oakview Care Center Inc (12 clinicians)

Practice addresses (Care Compare)

1250 3Rd Ave W
Durand, WI 54736-1600
Phone (715) 672-5233

Hospital & facility affiliations

  • Chippewa Valley Hospital Hospital · Durand, WI · CCN 521307

Merit-based Incentive Payment System (MIPS)

Final score
86.58 of 100 (group)
Quality
85.89
Promoting interoperability
100
Improvement activities
40
Cost
67.43

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050713000419 WI Practitioner - Nurse Practitioner 1254367055 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1489WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Chippewa Valley Hospital & Oakview Care Center, Inc. Current
since Feb 12, 2007
Accepting new patients
Chippewa Valley Hospital & Oakview Care Center Inc. Current
since Feb 12, 2007
Accepting new patients
Mayo Clinic Health System-Northwest Wisconsin Region, Inc. Past Accepting new patients

Locations

1250 3rd Ave W
Durand, WI 54736
Phone (715) 672-5233

1220 3rd Ave W
Durand, WI 54736
Phone (715) 642-4211

Interoperability endpoints

  • Direct secure messaging: jpoeschel661901@adventhealth.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1489 WI Yes

Addresses

Primary practice location

1250 3Rd Ave W
Durand, WI 54736-1600

Mailing address

1250 3Rd Ave W
Durand, WI 54736-1600
Phone (715) 672-5233

Other identifiers

IdentifierTypeStateIssuer
43897900MedicaidWI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2023.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316907231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 3RD AVE W",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547361600",
            "telephone_number": "715-672-5233",
            "fax_number": "715-672-3047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 3RD AVE W",
            "city": "DURAND",
            "state": "WI",
            "postal_code": "547361600",
            "telephone_number": "715-672-5233",
            "fax_number": "715-672-3047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POESCHEL",
        "first_name": "JANE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2023-03-07",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43897900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durand, WI

All providers in Durand, WI · Nurse Practitioner in Wisconsin

Sources for this page

Verify at the official NPI Registry.