NPIMap

Individual provider Active NPI

Jayanna Volm, APNP

  • Nurse Practitioner
  • Plover, WI
National Provider Identifier
1619358678
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6362 Issued in WI
Practice address
2401 Plover Rd
Plover, WI 54467-3916
Phone
(715) 295-3800
NPI assigned
Jun 16, 2015
Last updated
Jun 16, 2015By the provider in NPPES
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
Nurse Practitioner 363L00000X 6362 WI Primary

Addresses

Primary practice location

2401 Plover Rd
Plover, WI 54467-3916

Mailing address

2401 Plover Rd
Plover, WI 54467-3916
Phone (715) 295-3800

Other identifiers 2

IdentifierTypeStateIssuer
6362-30OtherWIAPNP LIC
154442-30OtherWIRN LIC

Other names 1

  • Jayanna Bullman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150827002457 WI Practitioner - Nurse Practitioner 8224344866 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

135 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-2121

143 S Gibson
Medford, WI 54451-1622
Phone (715) 748-2121

143 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8112

333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone (715) 847-0477

501 Aurora St
Antigo, WI 54409-2721
Phone (715) 675-2321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6362WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medical Group, Inc. CurrentSince Oct 24, 2016 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin CurrentSince Feb 1, 2018 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin Current Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Feb 1, 2018 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Oct 24, 2016 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

110 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2351

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

2401 Plover Rd
Plover, WI 54467
Phone (715) 259-3800

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

5409 Vern Holmes Dr
Stevens Point, WI 54482
Phone (715) 342-1015

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

2720 Plaza Dr
Ste 1400A
Wausau, WI 54401
Phone (715) 847-0426

3000 Westhill Dr
Ste 108
Wausau, WI 54401
Phone (715) 847-0032

333 Pine Ridge Blvd
Ste 185
Wausau, WI 54401
Phone (715) 847-0477

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

Organizations & group practices 10

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 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

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": "1619358678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PLOVER RD",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544673916",
            "telephone_number": "715-295-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PLOVER RD",
            "city": "PLOVER",
            "state": "WI",
            "postal_code": "544673916",
            "telephone_number": "715-295-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLM",
        "first_name": "JAYANNA",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "6362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APNP LIC",
            "identifier": "6362-30",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LIC",
            "identifier": "154442-30",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYANNA",
            "last_name": "BULLMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plover, WI

Sources for this page

Verify at the official NPI Registry.