NPIMap

Individual provider Active NPI

Kelly B Jankowsky, FNP-BC

  • Nurse Practitioner
  • Wausau, WI
National Provider Identifier
1952550576
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
3507-033 Issued in WI
Practice address
500 Wind Ridge Dr
Wausau, WI 54401-4173
Phone
(715) 847-2611
Fax
(715) 847-2465
NPI assigned
Sep 18, 2008
Last updated
Sep 18, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 3507-033 WI Primary

Addresses

Primary practice location

500 Wind Ridge Dr
Wausau, WI 54401-4173

Mailing address

500 Wind Ridge Dr
Wausau, WI 54401-4173
Phone (715) 847-2611

Other names 1

  • Kelly B Wendt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081003000731 WI Practitioner - Nurse Practitioner 3173691102 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medical Group, Inc.Group PAC ID 1052223625, 272 clinicians

Practice addresses (Care Compare)

1660 Sue Alan Dr
Wittenberg, WI 54499-8655
Phone (715) 253-2110

4005 Community Ctr Dr
Weston, WI 54476-4139
Phone (715) 241-5400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.53 of 100Reported as group
Quality
77.62
Promoting interoperability
100
Improvement activities
40
Cost
78.08

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
84.08
Promoting interoperability
100
Improvement activities
40
Cost
64.31

Merit-based Incentive Payment System (MIPS)

Final score
87.84 of 100Reported as group
Quality
86.21
Promoting interoperability
100
Improvement activities
40
Cost
73.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3507-033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin CurrentSince Aug 1, 2022 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 1, 2014 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Aug 1, 2014 Accepting new patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin Current Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Current Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jan 1, 2011 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jan 1, 2011 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

110 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2351

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

729 Park St
Antigo, WI 54409
Phone (715) 623-2356

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

2720 Plaza Dr
Ste 1400A
Wausau, WI 54401
Phone (715) 847-0426

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

500 Wind Ridge Dr
Wausau, WI 54401

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

1660 Sue Alan Dr
Wittenberg, WI 54499
Phone (715) 241-5426

604 S Webb St
Wittenberg, WI 54499
Phone (715) 253-2037

Interoperability endpoints

  • Direct secure messaging: kjankowsky19083@direct.aspirus.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1952550576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WIND RIDGE DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014173",
            "telephone_number": "715-847-2611",
            "fax_number": "715-847-2465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 WIND RIDGE DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544014173",
            "telephone_number": "715-847-2611",
            "fax_number": "715-847-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANKOWSKY",
        "first_name": "KELLY",
        "middle_name": "B",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "3507-033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELLY",
            "last_name": "WENDT",
            "middle_name": "B",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.