Jodi Corinne Delagrave, APNP, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1271 Issued in WI

Practice address

1130 W Sunset Dr
Waukesha, WI 53189-8422

Phone

(800) 389-2727

NPI assigned

Aug 3, 2005

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H1722

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.

• Dean Health Systems, Inc,

  • Durable Medical Equipment & Medical Supplies
  • Beaver Dam, WI
  • NPI 1336425016
  NPD (past)
• Gundersen Clinic LTD

  • Clinic/Center
  • La Crosse, WI
  • NPI 1851343115
  NPD (past)
• Take Care Health Wisconsin, S.C

  • Family Nurse Practitioner
  • Milwaukee, WI
  • NPI 1730241258
  NPD (past)

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1811998545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 LEONA AVE",
            "city": "RICHLAND CENTER",
            "state": "WI",
            "postal_code": "535813014",
            "telephone_number": "608-475-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W SUNSET DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531898422",
            "telephone_number": "800-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4140 County Road 101 N",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MN",
            "postal_code": "554462308",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELAGRAVE",
        "first_name": "JODI",
        "middle_name": "CORINNE",
        "credential": "APNP, DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-03",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1271",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "4470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH SYSTEMS",
            "identifier": "61106",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UGS MEDICARE",
            "identifier": "528513",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UGS MEDICARE",
            "identifier": "528514",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43878800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Kae Decker-Riddle, O.D.
• Alexis Decleene
• Deerwood Orthodontics, LLC
• Marcia Jean Degrothy
• Dej Dental
• Erin Delaney Turznik
• Rosemary Delgado, LPC
• Dorothy Delisle, M.D.
• Delle Radice Healing and Resource Center
• Delle Radici Healing and Resource Center

• Family Nurse Practitioner in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.