Individual provider Active NPI

Jessica L. Wirkus, NP

  • Nurse Practitioner
  • De Pere, WI
National Provider Identifier
1376772061
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3867-33 Issued in WI
Practice address
2366 Oak Ridge Cir
De Pere, WI 54115-9207
Phone
(920) 338-1111
Fax
(920) 339-5506
NPI assigned
Jul 2, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3867-33 WI Primary
Registered Nurse 163W00000X 149885 WI
Women's Health Nurse Practitioner 363LW0102X 3867 WI

Addresses

Primary practice location

2366 Oak Ridge Cir
De Pere, WI 54115-9207

Mailing address

521 N Nash St
Hortonville, WI 54944-9776

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
I20091202000439 WI Practitioner - Nurse Practitioner 6800935966 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Wisconsin School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Unity Supportive Care Management, LLCGroup PAC ID 4587096250, 3 clinicians

Practice addresses (Care Compare)

De Pere, WI 54115
Phone (920) 338-1111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149885WIMDRegistered Nurse
3867-33WIMDNurse Practitioner
3867WIMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Supportive Care Management, LLC CurrentSince Dec 17, 2025 Accepting new patients
Unity Limited Partnership Past Accepting new patients

Locations

2366 Oak Ridge Cir
De Pere, WI 54115
Phone (920) 338-1111

Interoperability endpoints

  • Direct secure messaging: jwirkus1169859@direct.emplifyhealth.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1376772061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N NASH ST",
            "city": "HORTONVILLE",
            "state": "WI",
            "postal_code": "549449776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2366 OAK RIDGE CIR",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159207",
            "telephone_number": "920-338-1111",
            "fax_number": "920-339-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIRKUS",
        "first_name": "JESSICA",
        "middle_name": "L.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3867-33",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "149885",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WI",
            "license": "3867",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Pere, WI

Sources for this page

Verify at the official NPI Registry.