Individual provider Active NPI

Jennifer E Resch, APNP

  • Nurse Practitioner
  • New London, WI
National Provider Identifier
1952685794
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4580-033 Issued in WI
Practice address
1420 Algoma St
New London, WI 54961-2104
Phone
(920) 982-8300
NPI assigned
Sep 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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 4580-033 WI Primary

Addresses

Primary practice location

1420 Algoma St
New London, WI 54961-2104

Mailing address

1420 Algoma St
New London, WI 54961-2104
Phone (920) 982-8300

Other identifiers 2

IdentifierTypeStateIssuer
1952685794MedicaidWI
4580-033OtherWISTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111025000706 WI Practitioner - Nurse Practitioner 0244403970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1420 Algoma St
New London, WI 54961-2104
Phone (920) 982-8300

1501 S Madison St
Appleton, WI 54915-1846
Phone (920) 738-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4580-033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Mar 18, 2013 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Mar 18, 2013 Accepting new patients

Locations

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

1420 Algoma St
New London, WI 54961
Phone (920) 828-8300

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

Interoperability endpoints

  • Direct secure messaging: ms_jresch1@landmarkhealth-direct.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1952685794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 ALGOMA ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612104",
            "telephone_number": "920-982-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 ALGOMA ST",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612104",
            "telephone_number": "920-982-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RESCH",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4580-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952685794",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4580-033",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, WI

Sources for this page

Verify at the official NPI Registry.