Individual provider Active NPI

Jennifer Krause

  • Registered Nurse
  • Winneconne, WI
National Provider Identifier
1407771819
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
173149 Issued in WI
Practice address
233 S 3Rd Ave
Winneconne, WI 54986-9646
Phone
(920) 582-5803
NPI assigned
Aug 13, 2026
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 173149 WI Primary

Addresses

Primary practice location

233 S 3Rd Ave
Winneconne, WI 54986-9646

Mailing address

233 S 3Rd Ave
Winneconne, WI 54986-9646
Phone (920) 582-5803

Other practice location 1

400 N 9th Ave
Winneconne, WI 54986-9784
Phone (920) 582-5803 ext. 3134

Other practice location 2

100 Wolf Run
Winneconne, WI 54986-9651
Phone (920) 582-5803 ext. 3134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
173149WIMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1786579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1407771819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S 3RD AVE",
            "city": "WINNECONNE",
            "state": "WI",
            "postal_code": "549869646",
            "telephone_number": "920-582-5803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S 3RD AVE",
            "city": "WINNECONNE",
            "state": "WI",
            "postal_code": "549869646",
            "telephone_number": "920-582-5803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N 9th Ave",
            "address_purpose": "LOCATION",
            "city": "Winneconne",
            "state": "WI",
            "postal_code": "549869784",
            "country_code": "US",
            "telephone_number": "920-582-5803 x3134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Wolf Run",
            "address_purpose": "LOCATION",
            "city": "Winneconne",
            "state": "WI",
            "postal_code": "549869651",
            "country_code": "US",
            "telephone_number": "920-582-5803 x3134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-08-13",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "173149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winneconne, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.