Jason Schunk, APNP
Individual provider Active NPI Family Nurse Practitioner · Augusta, WI
NPI 1487210589 · NPPES record last updated May 14, 2019
Key facts
- NPI
- 1487210589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 9255-33 (WI)
- Practice address
- S7645 Morning Crest Dr
Augusta, WI 54722-7579 - Phone
- (715) 829-0115
- NPI assigned
- May 14, 2019
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9255-33 | WI | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9255-33 | WI | Yes |
Addresses
Primary practice location
S7645 Morning Crest Dr
Augusta, WI 54722-7579
Mailing address
S7645 Morning Crest Dr
Augusta, WI 54722-7579
Phone (715) 829-0115
Other providers in Augusta, WI
- Jennifer Jean Pitterle
- Selena Rick
- Stephanie Rogge
- Jeanne Sackmann
- Gary James Schultz
- Dennis Eugene Severson
- Courtney Sue Spaeth
- Beth Marie Stange
- Ila Steinke
- Jessica A Stensen
All providers in Augusta, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.