Organization Active NPI

Informe Healthcare LLC

  • Internal Medicine Physician
  • Milwaukee, WI
National Provider Identifier
1407343965
Registry record updated Jan 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
INFORME HEALTHCARE LLC
Practice address
2741 W Layton Ave.
Suite 106
Milwaukee, WI 53221
Phone
(414) 242-5468
NPI assigned
Apr 19, 2018
Last updated
Jan 29, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2026

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

Authorized official

Name
Jodi M CzernejewskiNPI 1982969812
Title
Ceo
Phone
(414) 312-5165

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X
Addiction Medicine (Family Medicine) Physician 207QA0401X
Internal Medicine Physician 207R00000X Primary
Infectious Disease Physician 207RI0200X
Pulmonary Disease Physician 207RP1001X
Psychiatry Physician 2084P0800X
Hospitalist Physician 208M00000X

Addresses

Primary practice location

2741 W Layton Ave.
Suite 106
Milwaukee, WI 53221

Mailing address

2741 W Layton Ave Ste 106
Milwaukee, WI 53221-2600
Phone (414) 242-5468

Other practice location 1

709 Walnut St
Chattanooga, TN 37402-1916
Phone (423) 266-2248

Other practice location 2

7970 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Phone (414) 242-5468

Other practice location 3

811 E 12th St
Mishawaka, IN 46544-5408
Phone (574) 249-1917

Other practice location 4

8800 Virginia Pl
Merrillville, IN 46410-7109
Phone (219) 733-1310

Other practice location 5

745 N Swope St
Greenfield, IN 46140-1332
Phone (317) 462-9221

Other practice location 6

609 Tanglewood Ln
Mishawaka, IN 46545-2625
Phone (574) 277-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, TN, TX3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20180723000258 IN Part B Supplier - Clinic/Group Practice 8123375474 Receives reassigned benefits from 31 practitioners
Practice locations: Fort Wayne, IN; Mishawaka, IN; South Bend, IN
O20181003002950 TN Part B Supplier - Clinic/Group Practice 8123375474 Receives reassigned benefits from 5 practitioners
Practice locations: Chattanooga, TN
O20260609004680 TX Part B Supplier - Clinic/Group Practice 8123375474 Receives reassigned benefits from 1 practitioner
Practice locations: Harker Heights, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1407343965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2741 W LAYTON AVE STE 106",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532212600",
            "telephone_number": "414-242-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 W LAYTON AVE.",
            "address_2": "SUITE 106",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53221",
            "telephone_number": "414-242-5468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "709 Walnut St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374021916",
            "country_code": "US",
            "telephone_number": "423-266-2248",
            "fax_number": "888-736-2248",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7970 W Jefferson Blvd",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468044140",
            "country_code": "US",
            "telephone_number": "414-242-5468",
            "fax_number": "888-724-0875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "811 E 12th St",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465445408",
            "country_code": "US",
            "telephone_number": "574-249-1917",
            "fax_number": "574-271-0193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8800 Virginia Pl",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464107109",
            "country_code": "US",
            "telephone_number": "219-733-1310",
            "fax_number": "219-756-3562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "745 N Swope St",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "IN",
            "postal_code": "461401332",
            "country_code": "US",
            "telephone_number": "317-462-9221",
            "fax_number": "317-462-3400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Tanglewood Ln",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465452625",
            "country_code": "US",
            "telephone_number": "574-277-2500",
            "fax_number": "574-273-5314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INFORME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "CZERNEJEWSKI",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "414-312-5165"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.