Individual provider Active NPI

Jacqueline Bodil Elger, FNP-BC, APNP

  • Family Nurse Practitioner
  • Brookfield, WI
National Provider Identifier
1558020636
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11398 Issued in WI
Practice address
325 N Corporate Dr Ste 260
Brookfield, WI 53045-5828
Phone
(262) 787-2980
NPI assigned
Dec 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11398 WI Primary

Addresses

Primary practice location

325 N Corporate Dr Ste 260
Brookfield, WI 53045-5828

Mailing address

126 Highland Ave
Hartland, WI 53029-2224
Phone (262) 751-6339

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jlange@allayhh.com Direct

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
I20230323002610 WI Order and Referring Only - Nurse Practitioner 2567836042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11398WIMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1639526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1558020636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 HIGHLAND AVE",
            "city": "HARTLAND",
            "state": "WI",
            "postal_code": "530292224",
            "telephone_number": "262-751-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N CORPORATE DR STE 260",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455828",
            "telephone_number": "262-787-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELGER",
        "first_name": "JACQUELINE",
        "middle_name": "BODIL",
        "credential": "FNP-BC, APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-15",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "11398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jlange@allayhh.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "325 N Corporate Dr Ste 260",
            "city": "Brookfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530455828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.