Individual provider Active NPI

Jennifer A Hussli, MD

  • Family Medicine Physician
  • Janesville, WI
National Provider Identifier
1366515660
Registry record updated Apr 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49018-20 Issued in WI
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

Updated by the provider on Apr 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
HUSSLJENOtherWIMERCYCARE INSURANCE
P00932014DB7792OtherWIRR MEDICARE
1366515660MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060315000631 WI Practitioner - Family Practice 8426065475 Reassigns benefits to 1 organization

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
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

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 Home health agency, Janesville, WI, CCN 527018
  • Mercyhealth at Home Hospice, Janesville, WI, CCN 521550
  • Agrace Hospicecare Hospice, Madison, WI, CCN 521505
  • Mercy Health System Corp Hospital, Janesville, WI, CCN 520066
  • Mercy Walworth Hospital & Medical Center Hospital, Lake Geneva, WI, CCN 521357
  • Javon Bea Hospital Hospital, Rockford, IL, CCN 140239
  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • Rock Haven Nursing home, Janesville, WI, CCN 525390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation Current Accepting new patients
Mercy Health System Corporation CurrentSince Apr 1, 2006 Accepting new patients
Mercy Health System Corporation CurrentSince Apr 1, 2006 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 8

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": "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

Verify at the official NPI Registry.