Individual provider Active NPI

Jessica Friday

  • Family Nurse Practitioner
  • Appleton, WI
National Provider Identifier
1700351301
Registry record updated Oct 21, 2019
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(4) exclusion effective Jun 18, 2026.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
8937-33 Issued in WI
Practice address
3815 Stoney Creek CT
Appleton, WI 54913-7953
Phone
(715) 450-4298
NPI assigned
Oct 10, 2018
Last updated
Oct 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8937-33 WI Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

3815 Stoney Creek CT
Appleton, WI 54913-7953

Mailing address

3815 Stoney Creek CT
Appleton, WI 54913-7953
Phone (715) 450-4298

Other names 1

  • Jessica Lynn Vistain Former name

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Healthcare, Inc CurrentSince Mar 1, 2021 Accepting new patients
Horizon Healthcare, Inc CurrentSince Mar 1, 2021 Accepting new patients

Locations

4650 S Howell Ave
Milwaukee, WI 53207
Phone (414) 294-0144

5408 W Burleigh St
Milwaukee, WI 53210
Phone (414) 445-6520

217 Wisconsin Ave
Ste 201
Waukesha, WI 53186
Phone (414) 301-6386

217 Wisconsin Ave
Ste 204
Waukesha, WI 53186

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1700351301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 STONEY CREEK CT",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137953",
            "telephone_number": "715-450-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 STONEY CREEK CT",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137953",
            "telephone_number": "715-450-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIDAY",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "8937-33",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "VISTAIN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.