Individual provider Active NPI

Jessica Renea Rands, APNP

  • Family Nurse Practitioner
  • Hayward, WI
National Provider Identifier
1326681370
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
13464 Issued in WI
Practice address
10212 N Greenwood LN
Hayward, WI 54843-7220
Phone
(715) 634-6520
Fax
(715) 634-7055
NPI assigned
Oct 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1143764 KY
Family Nurse Practitioner 363LF0000X 3013758 KY
Family Nurse Practitioner 363LF0000X 13464 WI Primary

Addresses

Primary practice location

10212 N Greenwood LN
Hayward, WI 54843-7220

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5211

Other identifiers 1

IdentifierTypeStateIssuer
7100652880MedicaidKY

Other names 1

  • Jessica Budd, Pandolfi Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

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
I20230523001651 WI Practitioner - Nurse Practitioner 9830509595 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10212 N Greenwood LN
Hayward, WI 54843-7220
Phone (715) 634-6520

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13464WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc CurrentSince May 22, 2023 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince May 22, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince May 22, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince May 22, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince May 22, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Flambeau Hospital Inc CurrentSince May 22, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince May 22, 2023 Accepting new patients
MCHS Hospitals, Inc. CurrentSince May 22, 2023 Accepting new patients
Memorial Hospital Inc CurrentSince May 22, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince May 22, 2023 Accepting new patients

Locations

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

1200 State Road 48
Cumberland, WI 54829
Phone (715) 236-8159

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

10212 N Greenwood Ln
Hayward, WI 54843
Phone (715) 634-6520

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1326681370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N OAK AVE",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544495703",
            "telephone_number": "715-387-5211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10212 N GREENWOOD LN",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548437220",
            "telephone_number": "715-634-6520",
            "fax_number": "715-634-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDS",
        "first_name": "JESSICA",
        "middle_name": "RENEA",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1143764",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3013758",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "13464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100652880",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "10212 N Greenwood Ln",
            "city": "Hayward",
            "state": "WI",
            "country_code": "US",
            "postal_code": "548437220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "BUDD, PANDOLFI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hayward, WI

Sources for this page

Verify at the official NPI Registry.