Active NPI
Jennifer A Hussli, MD
- Family Medicine Physician
- Janesville, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 49018-20
- Practice address
- 1010 N Washington St
Janesville, WI 53548-1500 - Phone
- (608) 741-2430
- Fax
- (608) 741-6798
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 49018-20 | WI | Primary |
Addresses
Primary practice location
1010 N Washington St
Janesville, WI 53548-1500
Mailing address
1010 N Washington St
Janesville, WI 53548-1500
Phone (608) 741-2430
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HUSSLJEN | Other | WI | MERCYCARE INSURANCE |
| P00932014DB7792 | Other | WI | RR MEDICARE |
| 1366515660 | Medicaid | WI |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1000 Mineral Point Ave
Janesville, WI 53548-2940
Phone (608) 756-6508
3400 Deerfield Dr
Janesville, WI 53546-3557
Phone (608) 314-3660
849 Kellogg Ave
Janesville, WI 53546-2808
Phone (608) 755-7960
Hospital & facility affiliations
- Mercyhealth at Home
- Mercyhealth at Home
- Agrace Hospicecare
- Mercy Health System Corp
- Mercy Walworth Hospital & Medical Center
- Javon Bea Hospital
- University of Wi Hospitals & Clinics Authority
- Rock Haven
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
3524 E Milwaukee St
Janesville, WI 53546
Phone (608) 756-7100
1010 N Washington St
Janesville, WI 53548
Phone (608) 741-2430
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
Interoperability endpoints
- jhussli1986@direct.mhemail.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Fitchburg, WI
- NPI 1861503534
-
- Community Based Hospice Care Agency
- Janesville, WI
- NPI 1104971050
-
- Home Health Agency
- Janesville, WI
- NPI 1588719439
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1093768962
-
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1366515660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 N WASHINGTON ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535481500",
"telephone_number": "608-741-2430",
"fax_number": "608-741-6798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 N WASHINGTON ST",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535481500",
"telephone_number": "608-741-2430",
"fax_number": "608-741-6798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUSSLI",
"first_name": "JENNIFER",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "49018-20",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MERCYCARE INSURANCE",
"identifier": "HUSSLJEN",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00932014DB7792",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366515660",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.