Individual provider Active NPI

Jennifer C Janosik, APNP

  • Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1720896772
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
16293-33 Issued in WI
Practice address
3120 S 27TH St
Milwaukee, WI 53215-4338
Phone
(414) 672-8282
NPI assigned
Dec 23, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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 16293-33 WI Primary

Addresses

Primary practice location

3120 S 27TH St
Milwaukee, WI 53215-4338

Mailing address

335 E Mahn CT
Oak Creek, WI 53154-2155
Phone (414) 762-2020

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
I20250116000036 WI Practitioner - Nurse Practitioner 2062940257

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

335 E Mahn CT
Oak Creek, WI 53154-2155

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16293-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Nephrology Associates, SC CurrentSince Mar 1, 2025 Accepting new patients
Midwest Nephrology Associates, S.C. CurrentSince Mar 1, 2025 Accepting new patients

Locations

W3985 Highway NN
Elkhorn, WI 53121
Phone (262) 741-2000

10400 75th St
Kenosha, WI 53142
Phone (262) 697-7000

3120 S 27th St
Uppr
Milwaukee, WI 53215

3120 S 27th St
Milwaukee, WI 53215
Phone (414) 672-8282

7793 W Appleton Ave
Milwaukee, WI 53222
Phone (414) 393-9810

335 E Mahn Ct
Oak Creek, WI 53154
Phone (414) 762-2020

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1720896772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 E MAHN CT",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542155",
            "telephone_number": "414-762-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 S 27TH ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154338",
            "telephone_number": "414-672-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANOSIK",
        "first_name": "JENNIFER",
        "middle_name": "C",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "16293-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.