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
Hospital & facility affiliations 2
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
Practice addresses (Care Compare)
1250 3Rd Ave W
Durand, WI 54736-1600
Phone (715) 672-5233
Hospital & facility affiliations
- Chippewa Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.58 of 100
- 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050713000419 | WI | Practitioner - Nurse Practitioner | 1254367055 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1489 | WI | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chippewa Valley Hospital & Oakview Care Center, Inc. | Current |
Accepting new patients | |
| Chippewa Valley Hospital & Oakview Care Center Inc. | Current |
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
- jpoeschel661901@adventhealth.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43897900 | Medicaid | WI |
NPI Registry JSON
{
"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
- Pepin County Department of Human Services
- Pepin County Nursing Service
- Pepin County Nursing Service
- Pepin County Nursing Service
- Plastic Surgery Clinic of Ec, S.C.
- Pamela Ann Poeschel
- Randall E Kein DC SC
- David A Reiland
- Kenneth M Rucker
- Jerome Davis Rundall
All providers in Durand, WI · Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.