Individual provider Active NPI

Jane Carol Pleshek, NURSE PRACTITIONER

  • Nurse Practitioner
  • Chilton, WI
National Provider Identifier
1750889630
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7703-33 Issued in WI
Practice address
N4091 Lake Shore Dr
Chilton, WI 53014-9452
Phone
(920) 203-5849
Fax
(203) 577-5318
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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 7703-33 WI Primary

Addresses

Primary practice location

N4091 Lake Shore Dr
Chilton, WI 53014-9452

Mailing address

N4091 Lake Shore Dr
Chilton, WI 53014-9452
Phone (203) 584-9285

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
I20180208002617 WI Practitioner - Nurse Practitioner 2264792498

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chess Medicine PLLC CurrentSince May 27, 2023 Accepting new patients

Locations

99 Hawley Ln
Ste 1102
Stratford, CT 06614

6165 NW 86th St
Johnston, IA 50131
Phone (515) 468-2996

260 S Mayo Trl
Pikeville, KY 41501
Phone (606) 437-7327

1540 Lyon Dr
Neenah, WI 54956
Phone (920) 727-4946

Organizations & group practices 1

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1750889630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N4091 LAKE SHORE DR",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530149452",
            "telephone_number": "203-584-9285",
            "fax_number": "203-577-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N4091 LAKE SHORE DR",
            "city": "CHILTON",
            "state": "WI",
            "postal_code": "530149452",
            "telephone_number": "920-203-5849",
            "fax_number": "203-577-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLESHEK",
        "first_name": "JANE",
        "middle_name": "CAROL",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "7703-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chilton, WI

Sources for this page

Verify at the official NPI Registry.