Individual provider Active NPI

Jennifer Nelson, APNP

  • Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1518505064
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9777-33 Issued in WI
Practice address
7725 W Burleigh St
Milwaukee, WI 53222-5003
Phone
(414) 837-6300
NPI assigned
Dec 16, 2019
Last updated
Dec 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9777-33 WI Primary

Addresses

Primary practice location

7725 W Burleigh St
Milwaukee, WI 53222-5003

Mailing address

3051 N 56TH St
Milwaukee, WI 53210-1530
Phone (414) 379-9997

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
I20200122000830 WI Practitioner - Nurse Practitioner 0143655142 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milwaukee Behavioral Health LLCGroup PAC ID 4789089954, 17 clinicians
Milwaukee Internal Medicine Associates IncGroup PAC ID 6103908785, 12 clinicians

Practice addresses (Care Compare)

1706 S 68TH St
Milwaukee, WI 53214-4949
Phone (414) 667-4800

7733 W Burleigh St
Milwaukee, WI 53222-5003
Phone (414) 837-6300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9777-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Healthcare Services Current Accepting new patients
Milwaukee Internal Medicine Associates Inc CurrentSince Jan 1, 2020 Accepting new patients
Milwaukee Behavioral Health LLC CurrentSince Jun 23, 2024 Accepting new patients
We Care Wisconsin Adult Care LLC CurrentSince Dec 22, 2019 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jan 19, 2026 Accepting new patients

Locations

3415 Sheridan Rd
Kenosha, WI 53140
Phone (262) 633-4343

7733 W Burleigh St
Milwaukee, WI 53222
Phone (262) 328-4232

1706 S 68th St
West Allis, WI 53214
Phone (414) 667-4800

Organizations & group practices 6

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 1

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": "1576454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1518505064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3051 N 56TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532101530",
            "telephone_number": "414-379-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7725 W BURLEIGH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532225003",
            "telephone_number": "414-837-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "JENNIFER",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9777-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.