Individual provider Active NPI

Jessica Eva Beck, CRNA, APRN

  • Certified Registered Nurse Anesthetist
  • Lake Mills, WI
National Provider Identifier
1376932509
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
6949-33 Issued in WI
Practice address
856 Whispering Pines Cir
Lake Mills, WI 53551-9404
Phone
(414) 736-9183
NPI assigned
Jan 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 170685-30 WI
Certified Registered Nurse Anesthetist 367500000X CRNA 1507 MN
Registered Nurse 163W00000X R 208279-6 MN
Certified Registered Nurse Anesthetist 367500000X 6949-33 WI Primary

Addresses

Primary practice location

856 Whispering Pines Cir
Lake Mills, WI 53551-9404

Mailing address

856 Whispering Pines Cir
Lake Mills, WI 53551-9404
Phone (414) 736-9183

Other practice location 1

333 Smith Ave N
Saint Paul, MN 55102-2344
Phone (651) 241-8000

Other practice location 2

N15W28300 Golf Rd
Pewaukee, WI 53072-4800
Phone (262) 303-5055

Other practice location 3

900 Ridge St
Stoughton, WI 53589-1897
Phone (608) 873-6611

Other names 1

  • Jessica Eva Draveling Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161103000005 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 0547588865 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Partners Services SCGroup PAC ID 4082832514, 37 clinicians
Fort Healthcare IncGroup PAC ID 0840189718, 159 clinicians

Practice addresses (Care Compare)

2801 W Kinnickinnic River Pkwy
Suite 1080
Milwaukee, WI 53215-3689
Phone (414) 908-6500

611 Sherman Ave E
Fort Atkinson, WI 53538-1960
Phone (920) 568-5000

Hospital & facility affiliations

  • Fort Memorial Hospital Hospital, Fort Atkinson, WI, CCN 520071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R 208279-6MNMDRegistered Nurse
170685-30WIMDRegistered Nurse
CRNA 1507MNMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Healthcare, Inc. CurrentSince Mar 1, 2017 Accepting new patients
Stoughton Hospital Association CurrentSince Oct 19, 2016 Accepting new patients
Fort Healthcare Inc CurrentSince Mar 1, 2017 Accepting new patients
Anesthesia Partners Services, S.C. CurrentSince Jun 18, 2020 Accepting new patients
Stoughton Hospital Association CurrentSince Oct 19, 2016 Accepting new patients

Locations

611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667

2801 W Kinnickinnic River Pkwy
Ste 1080
Milwaukee, WI 53215
Phone (414) 908-6506

88948 Box
Milwaukee, WI 53288

900 Ridge St
Stoughton, WI 53589
Phone (608) 231-3410

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8F7ruIta-JA7ecm4ommy-Q50dF1FkFe4/

Organizations & group practices 5

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 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": "1421020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1376932509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 WHISPERING PINES CIR",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535519404",
            "telephone_number": "414-736-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 WHISPERING PINES CIR",
            "city": "LAKE MILLS",
            "state": "WI",
            "postal_code": "535519404",
            "telephone_number": "414-736-9183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Smith Ave N",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551022344",
            "country_code": "US",
            "telephone_number": "651-241-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N15W28300 Golf Rd",
            "address_purpose": "LOCATION",
            "city": "Pewaukee",
            "state": "WI",
            "postal_code": "530724800",
            "country_code": "US",
            "telephone_number": "262-303-5055",
            "fax_number": "262-303-5057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Ridge St",
            "address_purpose": "LOCATION",
            "city": "Stoughton",
            "state": "WI",
            "postal_code": "535891897",
            "country_code": "US",
            "telephone_number": "608-873-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BECK",
        "first_name": "JESSICA",
        "middle_name": "EVA",
        "credential": "CRNA, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-12",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "170685-30",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MN",
            "license": "CRNA 1507",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MN",
            "license": "R 208279-6",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WI",
            "license": "6949-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "DRAVELING",
            "middle_name": "EVA",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Mills, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.