Individual provider Active NPI

Jacqueline J Christianson, DNP, APRN, CNP

  • Nurse Practitioner
  • Madison, WI
National Provider Identifier
1427581909
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7631-33 Issued in WI
Practice address
1673 Norman Way
Madison, WI 53705-1238
Phone
(608) 512-6410
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F34664201 NY
Family Nurse Practitioner 363LF0000X 5766 MN
Nurse Practitioner 363L00000X 7631-33 WI Primary

Addresses

Primary practice location

1673 Norman Way
Madison, WI 53705-1238

Mailing address

1673 Norman Way
Madison, WI 53705-1238

Other practice location 1

1650 4th St SE
Rochester, MN 55904-4717
Phone (507) 529-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NY, MN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20170905002525 WI Practitioner - Nurse Practitioner 7416220900 Reassigns benefits to 6 organizations
I20210220000096 NY Practitioner - Nurse Practitioner 7416220900 Reassigns benefits to 3 organizations
I20230607000828 MN Practitioner - Nurse Practitioner 7416220900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olmsted Medical CenterGroup PAC ID 8527970060, 324 clinicians
Meriter Hospital IncGroup PAC ID 3971412735, 122 clinicians
Group Health Cooperative of South Central WisconsinGroup PAC ID 3870489586, 233 clinicians
St. Mary'S HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

1650 4TH St SE
Rochester, MN 55904-4700
Phone (507) 285-8485

202 S Park St
Madison, WI 53715-1507
Phone (608) 417-6000

3051 Cahill Main
Fitchburg, WI 53711-7109
Phone (608) 661-7200

4950 State Hwy 30
Amsterdam, NY 12010-7520
Phone (518) 541-3600

675 W Washington Ave
Madison, WI 53703-2637
Phone (608) 257-9700

8202 Excelsior Dr
Madison, WI 53717-1906
Phone (608) 831-1766

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F34664201NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wyckoff Professional Medical Services, PC CurrentSince Jan 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Apr 1, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 4, 2017 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Aug 4, 2017 Accepting new patients
Richard S Veiga MD SC Current Accepting new patients
Fairview Health Services Nurse Practitioner CurrentSince May 1, 2023 Accepting new patients
Upstate Ny Physician PLLC CurrentSince Apr 1, 2025 Accepting new patients
St Marys Healthcare CurrentSince Apr 1, 2025 Accepting new patients
Fairview Health Services CurrentSince May 1, 2023 Accepting new patients
Fairview Health Services Current Accepting new patients
Thedacare, Incorporated CurrentSince Jul 1, 2022 Accepting new patients
Group Health Cooperative of South Central Wisconsin CurrentSince Aug 5, 2019 Accepting new patients
St. Mary'S Healthcare CurrentSince Apr 1, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Nurse Practitioner CurrentSince Jun 1, 2024 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1700 University Ave W
Saint Paul, MN 55104
Phone (612) 672-6740

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

4950 State Highway 30
Amsterdam, NY 12010
Phone (518) 770-7557

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

84 E State St
Gloversville, NY 12078
Phone (518) 332-4336

7 Timmerman Ave
St Johnsville, NY 13452
Phone (518) 568-5037

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

3400 Deerfield Dr
Janesville, WI 53546
Phone (608) 314-3600

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

8202 Excelsior Dr
Madison, WI 53717
Phone (608) 831-1766

202 S Park St
Madison, WI 53715
Phone (608) 267-6000

675 W Washington Ave
Madison, WI 53703
Phone (608) 257-5178

811 E Washington Ave
Madison, WI 53703
Phone (469) 466-7420

130 2nd St
Neenah, WI 54956
Phone (920) 729-2063

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

Interoperability endpoints

  • Direct secure messaging: jchristianson780758@fairview.direct-ci.com
  • Direct secure messaging: jchristianson324901@direct.thedacare.org

Organizations & group practices 18

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.

View all 18

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1427581909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 NORMAN WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537051238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 NORMAN WAY",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537051238",
            "telephone_number": "608-512-6410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 4th St SE",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559044717",
            "country_code": "US",
            "telephone_number": "507-529-6600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTIANSON",
        "first_name": "JACQUELINE",
        "middle_name": "J",
        "credential": "DNP, APRN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F34664201",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "5766",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "7631-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.