Individual provider Active NPI

Jill M Witte, NP

  • Nurse Practitioner
  • Shawano, WI
National Provider Identifier
1386817021
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3442-33 Issued in WI
Practice address
1346 E Green Bay St
Shawano, WI 54166-2210
Phone
(715) 526-6244
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 123577-030 WI
Family Nurse Practitioner 363LF0000X 3442-33 WI
Nurse Practitioner 363L00000X 3442-33 WI Primary

Addresses

Primary practice location

1346 E Green Bay St
Shawano, WI 54166-2210

Mailing address

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

Other practice location 1

980 S Saint Augustine St
Pulaski, WI 54162-9453
Phone (920) 822-7700

Other identifiers 3

IdentifierTypeStateIssuer
3442-33OtherWIWISCONSIN LICENSE
36084900MedicaidWI
123577-30OtherWIWISCONSIN RN LICENSE

Other names 1

  • Jill M Frisque Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jwitte92271@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20080930000426 WI Practitioner - Nurse Practitioner 0941377105 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

1346 E Green Bay St
Shawano, WI 54166-2210
Phone (715) 526-6244

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
123577-030WIMDRegistered Nurse
3442WIMDPhysician Assistant
3442-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Dec 7, 2015 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Dec 7, 2015 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

101 Express Way
Bonduel, WI 54107
Phone (715) 758-6444

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

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

980 S Saint Augustine St
Pulaski, WI 54162
Phone (920) 822-7700

607 E Bronson Rd
Seymour, WI 54165
Phone (920) 833-6856

1346 E Green Bay St
Shawano, WI 54166
Phone (715) 526-6244

Interoperability endpoints

  • Direct secure messaging: jwitte92271@direct.myadvocateaurora.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 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": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1386817021",
    "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": "1346 E GREEN BAY ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541662210",
            "telephone_number": "715-526-6244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "980 S Saint Augustine St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "WI",
            "postal_code": "541629453",
            "country_code": "US",
            "telephone_number": "920-822-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WITTE",
        "first_name": "JILL",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "123577-030",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3442-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3442-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN LICENSE",
            "identifier": "3442-33",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36084900",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WISCONSIN RN LICENSE",
            "identifier": "123577-30",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jwitte92271@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1346 E Green Bay St",
            "city": "Shawano",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541662210",
            "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": "1346 E Green Bay St",
            "city": "Shawano",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541662210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "FRISQUE",
            "middle_name": "M",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shawano, WI

Sources for this page

Verify at the official NPI Registry.