Individual provider Active NPI

Jessica Sweeney, APNP

  • Nurse Practitioner
  • Waterford, WI
National Provider Identifier
1336723675
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
10580 Issued in WI
Practice address
818 Forrest LN
Waterford, WI 53185-4585
Phone
(262) 514-8199
NPI assigned
May 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 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 10580 WI Primary
Family Nurse Practitioner 363LF0000X 10580 WI

Addresses

Primary practice location

818 Forrest LN
Waterford, WI 53185-4585

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

1185 Corporate Center Drive
Oconomowoc, WI 53066
Phone (262) 948-8400

Other identifiers 1

IdentifierTypeStateIssuer
100171024MedicaidWI

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jsweeney65195@direct.aurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address Patrick.Coplan@phci.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
I20210625000257 WI Practitioner - Nurse Practitioner 2668873860 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Medical Group IncGroup PAC ID 3476465188, 475 clinicians
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

1185 Corporate Ctr Dr
Suite 175
Oconomowoc, WI 53066-4889
Phone (262) 928-8400

146 E Geneva SQ
Lake Geneva, WI 53147-9694
Phone (262) 249-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10580WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Advanced Healthcare, Inc. Internal Medicine CurrentSince May 1, 2025 Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince May 1, 2025 Accepting new patients
Prohealth Medical Group Inc. Internal Medicine CurrentSince Jun 1, 2021 Accepting new patients
Aurora Medical Group, Inc. Internal Medicine Current Accepting new patients
Prohealth Medical Group Inc CurrentSince Jun 1, 2021 Accepting new patients
Aurora Medical Group, Inc. CurrentSince May 1, 2025 Accepting new patients
Aurora Medical Group, Inc. CurrentSince May 1, 2025 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince May 1, 2025 Accepting new patients
Prohealth Medical Group Inc Internal Medicine Past Accepting new patients

Locations

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

146 E Geneva Sq
Lake Geneva, WI 53147
Phone (262) 249-4678

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

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

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

1185 Corporate Center Dr
Ste 175
Oconomowoc, WI 53066
Phone (262) 928-6236

1185 Corporate Center Dr
Oconomowoc, WI 53066
Phone (262) 928-8400

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

818 Forest Ln
Waterford, WI 53185
Phone (262) 514-3700

N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030

725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011

N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093

Interoperability endpoints

  • Direct secure messaging: patrick.coplan@phci.org

Organizations & group practices 9

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 4

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": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1336723675",
    "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": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 FORREST LN",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531854585",
            "telephone_number": "262-514-8199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1185 Corporate Center Drive",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "53066",
            "country_code": "US",
            "telephone_number": "262-948-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "JESSICA",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "10580",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10580",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100171024",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsweeney65195@direct.aurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "818 Forrest Ln",
            "city": "Waterford",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531854585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "818 Forrest Ln",
            "city": "Waterford",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531854585",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Patrick.Coplan@phci.org",
            "affiliation": "N",
            "address_1": "1185 Corporate Center Drive",
            "city": "Oconomowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterford, WI

Sources for this page

Verify at the official NPI Registry.