Individual provider Active NPI

Nancy Weronka

  • Case Manager/Care Coordinator
  • Brookfield, WI
National Provider Identifier
1538540570
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
52D1036616 Issued in WI
Practice address
12855 W Lisbon Rd
2ND Floor
Brookfield, WI 53005-2504
Phone
(262) 754-3130
Fax
(262) 754-3125
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X 52D1036616 WI Primary

Addresses

Primary practice location

12855 W Lisbon Rd
2ND Floor
Brookfield, WI 53005-2504

Mailing address

12855 W Lisbon Rd
2ND Floor
Brookfield, WI 53005-2504
Phone (262) 754-3130

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
52D1036616WIMDCase Manager/Care Coordinator

Practice roles

OrganizationSpecialtyStatusNew patients
JT Medical Services, Inc. Case Manager/Care Coordinator 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1538540570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12855 W LISBON RD",
            "address_2": "2ND FLOOR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052504",
            "telephone_number": "262-754-3130",
            "fax_number": "262-754-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12855 W LISBON RD",
            "address_2": "2ND FLOOR",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530052504",
            "telephone_number": "262-754-3130",
            "fax_number": "262-754-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERONKA",
        "first_name": "NANCY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WI",
            "license": "52D1036616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.