Jennie Corey, NP
Individual provider Active NPI Nurse Practitioner · Wausau, WI
NPI 1780475657 · NPPES record last updated May 27, 2026
Key facts
- NPI
- 1780475657
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 17019 (WI)
- Practice address
- 333 Pine Ridge Blvd
Wausau, WI 54401-4102 - Phone
- (715) 847-2121
- NPI assigned
- May 13, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 33
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Surgical Associates, S.C.
Aspirus Wausau Hospital Inc
Practice addresses (Care Compare)
2400 Pine Ridge Blvd
Wausau, WI 54401-7803
Phone (715) 847-2022
333 Pine Ridge Blvd
Wausau, WI 54401-4102
333 Pine Ridge Blvd
Wausau, WI 54401-4120
Phone (715) 847-2121
Hospital & facility affiliations
- Aspirus Wausau Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250815003486 | WI | Practitioner - Nurse Practitioner | 9436658556 | Reassigns benefits to 12 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152397-30 | WI | MD | Registered Nurse |
| 17019 | WI | MD | Nurse Practitioner |
| 17019-33 | WI | MD | Gerontology Nurse Practitioner |
Practice roles
Locations
29980 Network Pl
Chicago, IL 60673
112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331
400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318
201 Hospital Rd
Eagle River, WI 54521
Phone (715) 477-3000
135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100
601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511
2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598
2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074
1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530
209 Prentice St N
Stevens Point, WI 54481
Phone (715) 344-4611
900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500
401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700
190 Grand Seasons Dr
Waupaca, WI 54981
Phone (715) 258-3401
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
2400 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2022
420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474
240 Maple St
Woodruff, WI 54568
Phone (715) 356-8000
Interoperability endpoints
- https://api.platform.athenahealth.com/10114/brand/2/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 17019-33 | WI | |
| Registered Nurse | 163W00000X | 152397-30 | WI | |
| Acute Care Nurse Practitioner | 363LA2100X | 17019-33 | WI | |
| Nurse Practitioner | 363L00000X | 17019 | WI | Yes |
Addresses
Primary practice location
333 Pine Ridge Blvd
Wausau, WI 54401-4102
Mailing address
2400 Pine Ridge Blvd
Wausau, WI 54401-7803
Phone (715) 847-2022
Other practice location 1
2400 Pine Ridge Blvd
Wausau, WI 54401-7803
Phone (715) 847-2022
Other providers in Wausau, WI
- Thomas Paul Colvin
- Compassion Personal Home Care, LLC
- John Martin Connaughty
- Kevin J Cooper
- Keela Coppersmith
- Cornerstone Caregiving East LLC
- Patricia Ann Cotrone
- Jonathan Joseph Cotter
- Samuel Joseph Cotter
- Counseling to Empower New Futures LLC
All providers in Wausau, WI · Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.