Individual provider Active NPI

Jennifer Lee Taylor, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Juneau, WI
National Provider Identifier
1457786667
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5439-33 Issued in WI
Practice address
199 County Road DF
Juneau, WI 53039-9512
Phone
(920) 386-4094
NPI assigned
Sep 6, 2013
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5439 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5439-33 WI Primary

Addresses

Primary practice location

199 County Road DF
Juneau, WI 53039-9512

Mailing address

114 S Main St # 273
Fond Du Lac, WI 54935-4229

Other names 1

  • Jennifer Lee Peebles Former name

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
I20140317000219 WI Practitioner - Nurse Practitioner 4587895537 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of DodgeGroup PAC ID 2466475587, 10 clinicians

Practice addresses (Care Compare)

199 County Rd DF
Suite 3
Juneau, WI 53039-9512
Phone (920) 386-4094

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5439-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Dodge CurrentSince Jan 24, 2023 Accepting new patients
County of Dodge CurrentSince Jan 24, 2023 Accepting new patients
Skycloud Psychiatry LLC Psychiatric/Mental Health Past Accepting new patients

Locations

199 County Road DF
#3
Juneau, WI 53039
Phone (920) 386-4094

199 County Road DF
Fl 3
Juneau, WI 53039
Phone (920) 386-4094

199 Cty Df
Juneau, WI 53039
Phone (262) 735-8005

Organizations & group practices 3

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.

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": "1378425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1457786667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 S MAIN ST # 273",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549354229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 COUNTY ROAD DF",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "530399512",
            "telephone_number": "920-386-4094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-06",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "5439",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "5439-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PEEBLES",
            "middle_name": "LEE",
            "credential": "APNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Juneau, WI

Sources for this page

Verify at the official NPI Registry.