Active NPI
Jenelle Monche' Ward, RN, APNP, AGNP-C
- Adult Health Nurse Practitioner
- Milwaukee, WI
National Provider Identifier
1871841510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 13739-33
- Practice address
- 10701 W Research Dr
Milwaukee, WI 53226-3452 - Phone
- (414) 443-4530
- NPI assigned
- Aug 28, 2012
- Last updated
- Mar 20, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 13739-33 | WI | Primary |
| Gerontology Nurse Practitioner | 363LG0600X | 13739-33 | WI | |
| Registered Nurse | 163W00000X | 156128-30 | WI | |
| Case Management Registered Nurse | 163WC0400X | 00140605 | WI |
Addresses
Primary practice location
10701 W Research Dr
Milwaukee, WI 53226-3452
Mailing address
3273 N 24TH PL
Milwaukee, WI 53206-1212
Phone (414) 736-0385
Other practice location 1
3273 N 24th Pl
Milwaukee, WI 53206-1212
Phone (414) 736-0385
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 156128-30 | WI | MD | Registered Nurse |
| 00140605 | WI | MD | Case Management Registered Nurse |
| 13739-33 | WI | MD | Gerontology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1871841510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3273 N 24TH PL",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532061212",
"telephone_number": "414-736-0385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 W RESEARCH DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532263452",
"telephone_number": "414-443-4530"
}
],
"practiceLocations": [
{
"address_1": "3273 N 24th Pl",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532061212",
"country_code": "US",
"telephone_number": "414-736-0385",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARD",
"first_name": "JENELLE",
"middle_name": "MONCHE'",
"name_prefix": "Mrs.",
"credential": "RN, APNP, AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-28",
"last_updated": "2023-03-20",
"certification_date": "2023-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WI",
"license": "13739-33",
"primary": true
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WI",
"license": "13739-33",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "156128-30",
"primary": false
},
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "WI",
"license": "00140605",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.