Jennifer A Kracaw

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Practice address

1601 S 16TH St
Manitowoc, WI 54220-6123

Phone

(920) 242-1382

NPI assigned

May 24, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1982443321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 S 16TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542206123",
            "telephone_number": "920-242-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 S 16TH ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542206123",
            "telephone_number": "920-242-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRACAW",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-24",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Korinek
• Kelly Marie Kornely
• Melissa Koss, APNP
• Brittany Kostichka
• Lisa Lynn Kowalski, LCSW
• Allison Krcma, LCSW
• Alicia Marie Krimmer, NP
• Judith B Krings, PH.D.
• Chloe M Kroening, PTA
• Kayla Ann Krupka, LPN

• In Home Supportive Care Agency in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; 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.