NPIMap

Jessica Marie Clauson

Individual provider Active NPI Acute Care Nurse Practitioner · Mondovi, WI

NPI 1639718141 · NPPES record last updated Mar 27, 2024

Key facts

NPI
1639718141
Entity type
Individual (NPI type 1)
Primary specialty
Acute Care Nurse Practitioner 363LA2100X
License
9726-33 (WI)
Practice address
E8567 150TH Ave
Mondovi, WI 54755-8851
Phone
(715) 829-7392
NPI assigned
Dec 31, 2019
Sex
Female
Sole proprietor
No

Organizations & group practices 8

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.

Hospital & facility affiliations 16

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

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc. (272 clinicians)

Practice addresses (Care Compare)

444 E Timberland Dr
Rhinelander, WI 54501-2852
Phone (715) 369-2300

Hospital & facility affiliations

  • Aspirus Rhinelander Hospital Hospital · Rhinelander, WI · CCN 520019

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100 (group)
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

Merit-based Incentive Payment System (MIPS)

Final score
54.58 of 100 (group)
Quality
8.01
Promoting interoperability
100
Improvement activities
0
Cost
77.34

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20200605002358 WI Practitioner - Nurse Practitioner 9537580188 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Current
since Dec 4, 2023		 Accepting new patients
Aspirus Medical Group, Inc. Current
since Dec 27, 2023		 Accepting new patients
Aspirus Medical Group, Inc. Current
since Dec 27, 2023		 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. Current
since Dec 4, 2023		 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

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

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

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

Interoperability endpoints

  • Direct secure messaging: jclauson211896@direct.aspirus.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 9726-33 WI Yes

Addresses

Primary practice location

E8567 150TH Ave
Mondovi, WI 54755-8851

Mailing address

E8567 150TH Ave
Mondovi, WI 54755-8851
Phone (715) 829-7392

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 27, 2024.

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1639718141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "E8567 150TH AVE",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547558851",
            "telephone_number": "715-829-7392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "E8567 150TH AVE",
            "city": "MONDOVI",
            "state": "WI",
            "postal_code": "547558851",
            "telephone_number": "715-829-7392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAUSON",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "9726-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mondovi, WI

All providers in Mondovi, WI · Acute Care Nurse Practitioner in Wisconsin

Sources for this page

Verify at the official NPI Registry.