Jennifer Ann Daggett, APNP

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

License

15201-33 Issued in WI

Practice address

W2850 State Road 28
Sheboygan Falls, WI 53085-2702

Phone

(920) 467-1800

Fax

(920) 467-1900

NPI assigned

Mar 26, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mid-South Home Care Services LLCGroup PAC ID 4385961093, 101 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Mid-South Home Care Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Milwaukee, WI
  • NPI 1710768213
  Medicare reassignment Care Compare group
• Prevea Clinic, Inc.

  • Internal Medicine Physician
  • Green Bay, WI
  • NPI 1306869276
  NPD
• Sharon S. Richardson Hospice Home, Inc

  • Community Based Hospice Care Agency
  • Sheboygan Falls, WI
  • NPI 1598855207

  Hospice and Palliative Medicine

  NPD
• Mueller Therapy, Inc.

  • Occupational Therapist
  • Random Lake, WI
  • NPI 1578515755
  NPD (past)

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1801646245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W2850 STATE ROAD 28",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530852702",
            "telephone_number": "920-467-1800",
            "fax_number": "920-467-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W2850 STATE ROAD 28",
            "city": "SHEBOYGAN FALLS",
            "state": "WI",
            "postal_code": "530852702",
            "telephone_number": "920-467-1800",
            "fax_number": "920-467-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGGETT",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "15201-33",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "WI",
            "license": "15201-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100274215",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cari Ann Bollweg, D.O.
• Jacquelyn Brugger, PHARMD, RPH
• Danielle Cantu
• Natalie Carriere, LCSW
• Center for Restorative Medicine LLC
• Dlhomecare LLC
• Melinda Christine Duffy, PHARMD
• Brett Charles Egelseer, D.C.
• Katherine Joy Ellens, PTA
• Everside Health, LLC

• Hospice and Palliative Medicine (Family Medicine) Physician in Sheboygan Falls, WI
• Providers in Sheboygan Falls, WI by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.

Verify at the official NPI Registry.