Organization Active NPI

Apollo Senior Care, LLC

  • Family Nurse Practitioner
  • Schofield, WI
National Provider Identifier
1821873142
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
APOLLO SENIOR CARE, LLC
Practice address
1217 Schofield Ave
Schofield, WI 54476-2352
Phone
(715) 298-1117
Fax
(715) 227-8720
NPI assigned
Aug 25, 2023
Last updated
Dec 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Authorized official

Name
Jessica Ann Ryan-Geiger, APNP-BCNPI 1811409485
Title
Owner/Ceo
Phone
(171) 521-8959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

1217 Schofield Ave
Schofield, WI 54476-2352

Mailing address

1217 Schofield Ave
Schofield, WI 54476-2352
Phone (715) 298-1117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231017002875 WI Part B Supplier - Clinic/Group Practice 8325493992 Receives reassigned benefits from 1 practitioner
Practice locations: Schofield, WI

National Provider Directory

National Provider Directory

Locations

1217 Schofield Ave
Schofield, WI 54476
Phone (715) 298-1117

219 Ross Ave
Ste 106
Schofield, WI 54476
Phone (715) 298-1117

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1821873142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 SCHOFIELD AVE",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544762352",
            "telephone_number": "715-298-1117",
            "fax_number": "715-227-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 SCHOFIELD AVE",
            "city": "SCHOFIELD",
            "state": "WI",
            "postal_code": "544762352",
            "telephone_number": "715-298-1117",
            "fax_number": "715-227-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO SENIOR CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "RYAN-GEIGER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "171-521-8959",
        "authorized_official_credential": "APNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schofield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.