Active NPI
Jolene Ziebart, APNP
- Nurse Practitioner
- Lancaster, WI
National Provider Identifier
1457346421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 127-033
- Practice address
- 507 S Monroe St
Lancaster, WI 53813-2099 - Phone
- (608) 723-2143
- NPI assigned
- Sep 15, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 127-033 | WI | Primary |
Addresses
Primary practice location
507 S Monroe St
Lancaster, WI 53813-2099
Mailing address
507 S Monroe St
Lancaster, WI 53813-2054
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060613000293 | WI | Practitioner - Nurse Practitioner | 2668484536 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 127-033 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621468800000",
"number": "1457346421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 S MONROE ST",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538132054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S MONROE ST",
"city": "LANCASTER",
"state": "WI",
"postal_code": "538132099",
"telephone_number": "608-723-2143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZIEBART",
"first_name": "JOLENE",
"credential": "APNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-15",
"last_updated": "2021-05-20",
"certification_date": "2021-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "127-033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.