Individual provider Active NPI

Jayme Beth Servia, DNP, PMHNP, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1457179301
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
15966-33 Issued in WI
Practice address
10012 W Capitol Dr
Milwaukee, WI 53222-1338
Phone
(414) 810-4844
NPI assigned
Sep 30, 2024
Last updated
Sep 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 15966-33 WI Primary

Addresses

Primary practice location

10012 W Capitol Dr
Milwaukee, WI 53222-1338

Mailing address

2805 N Pierce St
Milwaukee, WI 53212-2548
Phone (920) 381-4491

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
I20250925001635 WI Practitioner - Nurse Practitioner 5294230777 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Grove Clinic SCGroup PAC ID 2264476688, 15 clinicians

Practice addresses (Care Compare)

10012 W Capitol Dr
Milwaukee, WI 53222-1338
Phone (414) 810-4844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15966-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Grove Clinic, SC CurrentSince Jul 14, 2025 Accepting new patients

Locations

17 Park Pl
Ste 400
Appleton, WI 54914
Phone (920) 574-3096

1400 75th St
Kenosha, WI 53143
Phone (262) 697-1820

6416 S Howell Ave
Oak Creek, WI 53154
Phone (414) 304-5713

10012 W Capitol Dr
Wauwatosa, WI 53222
Phone (414) 810-4844

10012 W Capitol Dr
Ste 101
Wauwatosa, WI 53222
Phone (414) 810-4844

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1457179301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 N PIERCE ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532122548",
            "telephone_number": "920-381-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10012 W CAPITOL DR",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532221338",
            "telephone_number": "414-810-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERVIA",
        "first_name": "JAYME",
        "middle_name": "BETH",
        "credential": "DNP, PMHNP, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "15966-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.