Jamie Leigh Dewitt, APNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

2124-033 Issued in WI

Practice address

2601 Fieldcrest Dr
Kaukauna, WI 54130-4523

Phone

(920) 426-6100

Fax

(920) 426-6109

NPI assigned

Aug 15, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Matrix Medical Plus

  • Nurse Practitioner
  • Nashville, TN
  • NPI 1376973461

  WI

  Medicare reassignment NPD
• Ascension Medical Group-Fox Valley Wisconsin, Inc

  • Cardiovascular Disease Physician
  • Appleton, WI
  • NPI 1831890177
  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243296000000",
    "number": "1760474910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 FIELDCREST DR",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541304523",
            "telephone_number": "920-426-6100",
            "fax_number": "920-426-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 FIELDCREST DR",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541304523",
            "telephone_number": "920-426-6100",
            "fax_number": "920-426-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "JAMIE",
        "middle_name": "LEIGH",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2009-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "2124-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43976600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phabian Treyvonne Dejean
• Gregory James Dejong, LAT
• Patricia M Demery, MD
• Jennifer Depies, OTR
• Amber Deprez
• DG Brothers, Inc.
• Leah Diedrick-Williams, LCSW
• Erin Diedrick, OT
• Samantha Joan Diver, RN
• Holly L Doughty, LPC

• Nurse Practitioner in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2009; 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.

Verify at the official NPI Registry.