Michaelene Pheifer Jansen, RN, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

68695-30 Issued in WI

Practice address

1615 Maple LN Ste 1
Essentia Health Ashland Clinic
Ashland, WI 54806-3610

Phone

(715) 685-7500

NPI assigned

Mar 14, 2006

Last updated

May 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Michaelene P Mirr Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pain Clinic of Northwestern Wisconsin SC

  • Interventional Pain Medicine Physician
  • Eau Claire, WI
  • NPI 1609844000
  NPD (past)
• The Duluth Clinic, LTD

  dba Essentia Health Ashland Clinic

  • Multi-Specialty Clinic/Center
  • Ashland, WI
  • NPI 1215974357
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1891763090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 MAPLE LN STE 1",
            "address_2": "ESSENTIA HEALTH ASHLAND CLINIC",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063610",
            "telephone_number": "715-685-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 MAPLE LN STE 1",
            "address_2": "ESSENTIA HEALTH ASHLAND CLINIC",
            "city": "ASHLAND",
            "state": "WI",
            "postal_code": "548063610",
            "telephone_number": "715-685-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANSEN",
        "first_name": "MICHAELENE",
        "middle_name": "PHEIFER",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "68695-30",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "221-33",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41272500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHAELENE",
            "last_name": "MIRR",
            "middle_name": "P",
            "credential": "RN, APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Douglas Ipsen
• Bradley C Irwin, MD
• J & C Stock SC (Medicine Shoppe)
• Barry T Jacobs, DDS
• Amy Jacobson, AUD
• Jacey Leann Janz Vernoski
• Kristine Marie Jensch, CAC.
• Jessica Ann Joanis, MSW
• Johnson Psychotherapy, LLC
• Kristie Johnson, MD

• Family Nurse Practitioner in Ashland, WI
• Providers in Ashland, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2016; 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.