Active NPI
Jenelle Elza
- Registered Nurse
- Ashland, WI
National Provider Identifier
1922488279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 151450-30
- Practice address
- 1615 Maple LN
Ashland, WI 54806-3610 - Phone
- (715) 685-5400
- Fax
- (715) 685-5102
- NPI assigned
- Jun 2, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 151450-30 | WI | Primary |
Addresses
Primary practice location
1615 Maple LN
Ashland, WI 54806-3610
Mailing address
1123 Beaser Ave
Ashland, WI 54806-2760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151450-30 | Other | WI | LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 151450-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433203200000",
"number": "1922488279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 BEASER AVE",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548062760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 MAPLE LN",
"city": "ASHLAND",
"state": "WI",
"postal_code": "548063610",
"telephone_number": "715-685-5400",
"fax_number": "715-685-5102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELZA",
"first_name": "JENELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-02",
"last_updated": "2015-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "151450-30",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "151450-30",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ashland, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.