Individual provider Active NPI

Debra Check Janisch, FNP-BC APNP

  • Family Nurse Practitioner
  • Wauwatosa, WI
National Provider Identifier
1740950260
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11320-33 Issued in WI
Practice address
2007 N 81St St
Wauwatosa, WI 53213-1601
Phone
(414) 737-5626
NPI assigned
Sep 16, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11320-33 WI Primary

Addresses

Primary practice location

2007 N 81St St
Wauwatosa, WI 53213-1601

Mailing address

2007 N 81St St
Wauwatosa, WI 53213-1601
Phone (414) 737-5626

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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Waukesha County CurrentSince Nov 1, 2021 Accepting new patients
Waukesha County Current Accepting new patients
Pivotal Health, Inc. CurrentSince Jan 1, 2022 Accepting new patients
Waukesha County CurrentSince Nov 1, 2021 Accepting new patients

Locations

3030 Laura Ln
Ste 130
Middleton, WI 53562
Phone (888) 688-4746

514 Riverview Ave
Waukesha, WI 53188
Phone (262) 548-7212

1501 Airport Rd
Waukesha, WI 53188
Phone (262) 548-7950

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23915/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1740950260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 N 81ST ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131601",
            "telephone_number": "414-737-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 N 81ST ST",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532131601",
            "telephone_number": "414-737-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHECK JANISCH",
        "first_name": "DEBRA",
        "credential": "FNP-BC APNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "11320-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wauwatosa, WI

Sources for this page

Verify at the official NPI Registry.