Individual provider Active NPI

Jessica Jo Roby, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Neenah, WI
National Provider Identifier
1780338202
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
12009-33 Issued in WI
Practice address
937 Westfield LN
Neenah, WI 54956-1329
Phone
(920) 215-0236
Fax
(920) 273-2939
NPI assigned
Feb 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatric/Mental Health Registered Nurse 163WP0807X 172928 WI
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 12009-33 WI Primary

Addresses

Primary practice location

937 Westfield LN
Neenah, WI 54956-1329

Mailing address

937 Westfield LN
Neenah, WI 54956-1329
Phone (920) 901-3179

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
I20260223001859 WI Practitioner - Nurse Practitioner 0648751206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geiger Medical LLCGroup PAC ID 2163719626, 25 clinicians

Practice addresses (Care Compare)

15430 W Capitol Dr
Suite 300
Brookfield, WI 53005-2626
Phone (262) 421-5133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
172928WIMDChild & Adolescent Psychiatric/Mental Health Registered Nurse
12009-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Geiger Medical, LLC CurrentSince Jan 12, 2026 Accepting new patients
N.E.W. Community Clinic, LTD PastSince Mar 1, 2024 Accepting new patients

Locations

15430 W Capitol Dr
Ste 100
Brookfield, WI 53005
Phone (262) 235-3115

15430 W Capitol Dr
Ste 200
Brookfield, WI 53005

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.

NPI Registry JSON

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1780338202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 WESTFIELD LN",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561329",
            "telephone_number": "920-901-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 WESTFIELD LN",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561329",
            "telephone_number": "920-215-0236",
            "fax_number": "920-273-2939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBY",
        "first_name": "JESSICA",
        "middle_name": "JO",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "WI",
            "license": "172928",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "12009-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neenah, WI

Sources for this page

Verify at the official NPI Registry.