Active NPI
Jessica L Zemlak
- Nurse Practitioner
- Greenfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2491
- Practice address
- 6901 W Edgerton Ave
Greenfield, WI 53220-4420 - Phone
- (414) 325-5244
- Fax
- (414) 421-3772
- NPI assigned
- Feb 7, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2941 | WI | |
| Nurse Practitioner | 363L00000X | 2491 | WI | Primary |
Addresses
Primary practice location
6901 W Edgerton Ave
Greenfield, WI 53220-4420
Mailing address
3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (414) 325-5244
Other practice location 1
4296 South 76th Street
Greenfield, WI 53220
Phone (866) 825-3227
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41250300 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jzemlaknp39681@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2491 | WI | MD | Optometrist |
| 2941 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Medical Clinic, LLC | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
1575 N Rivercenter Dr
Milwaukee, WI 53212
Phone (414) 283-8444
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747
14555 W National Ave
Ste 160
New Berlin, WI 53151
Phone (262) 827-2975
200 E Ryan Rd
Oak Creek, WI 53154
Phone (414) 570-3590
2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880
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.
-
- Family Medicine Physician
- Saint Francis, WI
- NPI 1003861188
-
- Durable Medical Equipment & Medical Supplies
- Union Grove, WI
- NPI 1245440601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652745600000",
"number": "1740320035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3301 W FOREST HOME AVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532152843",
"telephone_number": "414-325-5244",
"fax_number": "414-421-3772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 W EDGERTON AVE",
"city": "GREENFIELD",
"state": "WI",
"postal_code": "532204420",
"telephone_number": "414-325-5244",
"fax_number": "414-421-3772"
}
],
"practiceLocations": [
{
"address_1": "4296 South 76th Street",
"address_purpose": "LOCATION",
"city": "Greenfield",
"state": "WI",
"postal_code": "53220",
"country_code": "US",
"telephone_number": "866-825-3227",
"fax_number": "484-351-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZEMLAK",
"first_name": "JESSICA",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-07",
"last_updated": "2022-05-17",
"certification_date": "2022-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "2941",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "2491",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41250300",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jzemlaknp39681@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "6901 W Edgerton Ave",
"city": "Greenfield",
"state": "WI",
"country_code": "US",
"postal_code": "532204420",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "6901 W Edgerton Ave",
"city": "Greenfield",
"state": "WI",
"country_code": "US",
"postal_code": "532204420",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.