Individual provider Active NPI

Jenelle Monche' Ward, RN, APNP, AGNP-C

  • Adult Health Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1871841510
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
13739-33 Issued in WI
Practice address
10701 W Research Dr
Milwaukee, WI 53226-3452
Phone
(414) 443-4530
NPI assigned
Aug 28, 2012
Last updated
Mar 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
156128-30WIMDRegistered Nurse
00140605WIMDCase Management Registered Nurse
13739-33WIMDGerontology 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.

Verify at the official NPI Registry.