Individual provider Active NPI

Jessica Erin Furey, DO

  • Family Medicine Physician
  • Elkhorn, WI
National Provider Identifier
1811334501
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
66119-21 Issued in WI
Practice address
839 N Wisconsin St
Elkhorn, WI 53121-1138
Phone
(262) 741-1400
Fax
(262) 741-1401
NPI assigned
Jun 4, 2013
Last updated
Aug 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101020593 MI
Family Medicine Physician 207Q00000X 66119-21 WI Primary

Addresses

Primary practice location

839 N Wisconsin St
Elkhorn, WI 53121-1138

Mailing address

839 N Wisconsin St
Elkhorn, WI 53121-1138
Phone (262) 741-1400

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161025000376 WI Practitioner - Family Practice 5890004030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colab Physicians, SCGroup PAC ID 1052853561, 2 clinicians

Practice addresses (Care Compare)

10325 N Port Washington Rd
Suite 150
Mequon, WI 53092-5768
Phone (262) 643-4720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
66119-21WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health System Corporation Current Accepting new patients
Mercy Health System Corporation CurrentSince Oct 7, 2016 Accepting new patients
Mercy Health System Corporation CurrentSince Oct 7, 2016 Accepting new patients
Colab Physicians, SC Family Medicine CurrentSince Mar 24, 2024 Accepting new patients

Locations

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

839 N Wisconsin St
Elkhorn, WI 53121
Phone (262) 723-5055

6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

N2950 State Road 67
Lake Geneva, WI 53147
Phone (262) 245-0535

10325 N Port Washington Rd
Ste 150
Mequon, WI 53092
Phone (262) 241-1701

Interoperability endpoints

  • Direct secure messaging: jessica.furey@101378185428996.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472515200000",
    "number": "1811334501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 N WISCONSIN ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211138",
            "telephone_number": "262-741-1400",
            "fax_number": "262-741-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 N WISCONSIN ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531211138",
            "telephone_number": "262-741-1400",
            "fax_number": "262-741-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUREY",
        "first_name": "JESSICA",
        "middle_name": "ERIN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2016-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101020593",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "66119-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, WI

Sources for this page

Verify at the official NPI Registry.