Active NPI
Jane Antoinette Novitzke, APNP, RN, NHA
- Gerontology Nurse Practitioner
- Park Falls, WI
National Provider Identifier
1508942541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 113 - 033
- Practice address
- 1133 4TH Ave S
Park Falls, WI 54552-1922 - Phone
- (715) 762-4600
- Fax
- (715) 762-2835
- NPI assigned
- Oct 31, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 113 - 033 | WI | |
| Adult Health Nurse Practitioner | 363LA2200X | 113 - 033 | WI | |
| Community Health Nurse Practitioner | 363LC1500X | 113 - 033 | WI | |
| Gerontology Nurse Practitioner | 363LG0600X | 113 - 033 | WI | Primary |
Addresses
Primary practice location
1133 4TH Ave S
Park Falls, WI 54552-1922
Mailing address
1133 4TH Ave S
Post Office Box 110
Park Falls, WI 54552-1922
Phone (715) 762-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43822500 | Medicaid | WI |
Other names 1
- Mrs. Jane Antoinette Sellers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113 - 033 | WI | MD | Community Health Nurse Practitioner |
| 113 | WI | MD | Anesthesiologist Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Resources, LTD. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Park Falls, WI
- NPI 1083772602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1508942541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1133 4TH AVE S",
"address_2": "POST OFFICE BOX 110",
"city": "PARK FALLS",
"state": "WI",
"postal_code": "545521922",
"telephone_number": "715-762-4600",
"fax_number": "715-762-2835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 4TH AVE S",
"city": "PARK FALLS",
"state": "WI",
"postal_code": "545521922",
"telephone_number": "715-762-4600",
"fax_number": "715-762-2835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVITZKE",
"first_name": "JANE",
"middle_name": "ANTOINETTE",
"name_prefix": "Ms.",
"credential": "APNP, RN, NHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-31",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "113 - 033",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WI",
"license": "113 - 033",
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "WI",
"license": "113 - 033",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WI",
"license": "113 - 033",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43822500",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANE",
"last_name": "SELLERS",
"middle_name": "ANTOINETTE",
"prefix": "MRS.",
"credential": "RN, NHA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Park Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.