Active NPI
Jennie Corey, NP
- Nurse Practitioner
- Wausau, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 17019
- Practice address
- 333 Pine Ridge Blvd
Wausau, WI 54401-4102 - Phone
- (715) 847-2121
- NPI assigned
- May 13, 2025
- Last updated
- May 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| 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 | Primary |
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
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 152397-30 | WI | MD | Registered Nurse |
| 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
2400 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2022
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
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
Organizations & group practices 26
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.
-
dba Aspirus Wausau Hospital Hospitalists
- Clinic/Center
- Wausau, WI
- NPI 1922321140
-
- Surgery Physician
- Wausau, WI
- NPI 1710910476
-
dba Aspirus Eagle River Hospital
- Critical Access Hospital
- Eagle River, WI
- NPI 1346204385
-
dba Aspirus Gilman Clinic
- Rural Health Clinic/Center
- Gilman, WI
- NPI 1285703173
-
dba Aspirus Merrill Hospital
- Critical Access Hospital
- Merrill, WI
- NPI 1124084678
-
dba Aspirus Stevens Point Clinic - Illinois Avenue
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
dba Aspirus Outpatient Therapies - Wisconsin Rapids
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
-
dba Aspirus Stanley Hospital
- Critical Access Hospital
- Stanley, WI
- NPI 1053391730
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
dba Aspirus Divine Savior Hospital
- General Acute Care Hospital
- Portage, WI
- NPI 1124083894
-
dba Aspirus Elcho Clinic
- Rural Health Clinic/Center
- Elcho, WI
- NPI 1831251040
-
dba Howard Young Medical Center
- General Acute Care Hospital
- Woodruff, WI
- NPI 1184673352
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Aspirus Edgar Clinic
- Clinic/Center
- Edgar, WI
- NPI 1447580725
Hospital
-
dba Aspirus Dermatology Clinic
- Dermatology Physician
- Wausau, WI
- NPI 1477883759
Hospital
-
dba Aspirus Imaging - Westwood
- Radiology Clinic/Center
- Wausau, WI
- NPI 1780014407
Hospital
-
dba Aspirus Outpatient Therapies - Pediatrics
- Rehabilitation Clinic/Center
- Wausau, WI
- NPI 1083955165
Hospital
-
dba Aspirus Plover Clinic
- Family Medicine Physician
- Stevens Point, WI
- NPI 1275886749
Hospital
-
dba Aspirus Regional Cancer Center
- Clinic/Center
- Wausau, WI
- NPI 1356576490
Hospital
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1558363986
-
dba Aspirus Plover Hospital
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1598375271
-
- General Acute Care Hospital
- Wausau, WI
- NPI 1902923170
-
dba Aspirus Infectious Disease
- Clinic/Center
- Wausau, WI
- NPI 1952921405
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779840000000",
"number": "1780475657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 PINE RIDGE BLVD",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544017803",
"telephone_number": "715-847-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 PINE RIDGE BLVD",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014102",
"telephone_number": "715-847-2121"
}
],
"practiceLocations": [
{
"address_1": "2400 Pine Ridge Blvd",
"address_purpose": "LOCATION",
"city": "Wausau",
"state": "WI",
"postal_code": "544017803",
"country_code": "US",
"telephone_number": "715-847-2022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COREY",
"first_name": "JENNIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-13",
"last_updated": "2026-05-27",
"certification_date": "2026-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WI",
"license": "17019-33",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "152397-30",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "WI",
"license": "17019-33",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "17019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wausau, WI
- Jennifer Ruth Comfort
- Compassion Personal Home Care, LLC
- John Martin Connaughty, DDS
- Kevin J Cooper, RN
- Keela Coppersmith, LPC-IT
- Cornerstone Caregiving East LLC
- Patricia Ann Cotrone, LPC MA NCC
- Jonathan Joseph Cotter, M.D.
- Samuel Joseph Cotter, APSW
- Counseling to Empower New Futures LLC (Counseling to Empower)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.