Active NPI
Emily Machulak Jeska, FNP-BC
- Family Nurse Practitioner
- Menomonee Falls, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9899-33
- Practice address
- W165N5595 Creekwood Xing
Menomonee Falls, WI 53051-0685 - Phone
- (262) 252-1050
- NPI assigned
- Feb 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9899-33 | WI | Primary |
Addresses
Primary practice location
W165N5595 Creekwood Xing
Menomonee Falls, WI 53051-0685
Mailing address
212 S Barclay St Apt 302
Milwaukee, WI 53204-1433
Phone (414) 801-2055
Other practice location 1
1411 N Taylor Dr
Sheboygan, WI 53081-3043
Phone (920) 457-9858
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200309000795 | WI | Practitioner - Nurse Practitioner | 7517395478 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 19070
Green Bay, WI 54307
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Care of Wisconsin, LLC. | Current | Accepting new patients | |
| Prevea Clinic, Inc. | Current | Accepting new patients |
Locations
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
3100 Superior Ave
Sheboygan, WI 53081
Phone (800) 472-6710
1411 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 457-1600
Organizations & group practices 2
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.
-
- Methadone Clinic
- Pewaukee, WI
- NPI 1215644356
-
- Internal Medicine Physician
- Green Bay, WI
- NPI 1306869276
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1114908001
-
- Hematology & Oncology Physician
- Sheboygan, WI
- NPI 1831784636
Hospital
-
- Hematology & Oncology Physician
- Green Bay, WI
- NPI 1184004236
Hospital
-
- Hematology & Oncology Physician
- Oconto Falls, WI
- NPI 1750760740
Hospital
-
- Hematology & Oncology Physician
- Sturgeon Bay, WI
- NPI 1760861751
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582329600000",
"number": "1861026494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 S BARCLAY ST APT 302",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532041433",
"telephone_number": "414-801-2055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W165N5595 CREEKWOOD XING",
"city": "MENOMONEE FALLS",
"state": "WI",
"postal_code": "530510685",
"telephone_number": "262-252-1050"
}
],
"practiceLocations": [
{
"address_1": "1411 N Taylor Dr",
"address_purpose": "LOCATION",
"city": "Sheboygan",
"state": "WI",
"postal_code": "530813043",
"country_code": "US",
"telephone_number": "920-457-9858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JESKA",
"first_name": "EMILY",
"middle_name": "MACHULAK",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-22",
"last_updated": "2020-02-22",
"certification_date": "2020-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "9899-33",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Menomonee Falls, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2020; 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.