Carlene Janssen, L. AC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

988-55 Issued in WI

Practice address

481 E Division St Ste 200
Fond Du Lac, WI 54935-3775

Phone

(920) 933-1040

NPI assigned

Jan 30, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Manitowoc, WI
  • NPI 1801941075
  NPD (past)

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1821552191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5047 COUNTY ROAD B",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549377727",
            "telephone_number": "920-979-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 E DIVISION ST STE 200",
            "city": "FOND DU LAC",
            "state": "WI",
            "postal_code": "549353775",
            "telephone_number": "920-933-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSSEN",
        "first_name": "CARLENE",
        "credential": "L. AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-30",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WI",
            "license": "988-55",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• J. Brian Conran, O.D., S.C.
• J&V Shuttle Service LLC
• Stephanie M Jackson, PHARMD
• Nicole Elizabeth Jandre
• Heidi Jannette
• Marcie Ann Janz, APNP
• Edward Joseph Jedlicka, MS, LPC
• Erika Jens
• Guy J Jensen, D.D.S., M.S.
• Brooke Laine Jeske, APNP

• Acupuncturist in Fond Du Lac, WI
• Providers in Fond Du Lac, WI by specialty
• Acupuncturist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2019; 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.