MS. JANELLE MARIE PETINGA (NPI# 1336453315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336453315 |
| Entity Type | Individual |
| Full Name | MS. JANELLE MARIE PETINGA |
| Other Name | MS. JANELLE MARIE KUBISIAK |
| Credential | ANP-BC |
| Practice Address |
1155 N Mayfair Rd Wauwatosa WI 53226-3462 |
| Practice Telephone | 4149557199 |
| Practice Fax Number | 4149550110 |
| Mailing Telephone | 4149557199 |
| Mailing Fax Number | 4149550110 |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2018-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
4113-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
2009006582 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 1336453315 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7235 West Appleton Avenue, Suite 102, Milwaukee, WI 532161932 | 4144448670 | 4144448678 |
| Street Address |
1155 N MAYFAIR RD |
| City | WAUWATOSA |
| State | WI |
| Zip Code | 53226-3462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154947224 | Froedtert & The Medical College of Wisconsin Community Physicians Inc | Durable Medical Equipment & Medical Supplies | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2020-06-24 |
| 1689222515 | Froedtert Health Pharmacy LLC | Pharmacy | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2019-09-04 |
| 1104387042 | Deanne A Walker Dupree | Nurse Practitioner | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2019-03-25 |
| 1346701273 | Spencer Klein | Student in an Organized Health Care Education/Training Program | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2019-03-25 |
| 1023583937 | Melissa Lynn Wojtkowski | Nurse Practitioner | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2018-10-06 |
| 1255839338 | Krystina L Kienast | Nurse Practitioner | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2018-01-24 |
| 1417471962 | Abigayle Musholt | Physician Assistant | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2017-07-26 |
| 1245775667 | Kimberly Noelle Schroeder | Occupational Therapist | 1155 N Mayfair Rd, Attn: Hand Center, Second Floor, Wauwatosa, WI 53226-3462 | 2016-12-20 |
| 1821530684 | Allison Nicole Fladten | Nurse Practitioner | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2016-11-10 |
| 1942678081 | Elyse Weitzman | Pharmacist | 1155 N Mayfair Rd, Wauwatosa, WI 53226-3462 | 2015-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912511155 | Alexander Harlan | Pharmacist | 900 N 92nd St, Milwaukee, WI 53226 | 2020-09-04 |
| 1558985762 | Armghan Haider Ans | Student in an Organized Health Care Education/Training Program | 9200 W. Wisconsin Ave. Froedtert Hospital & Medical Col, Milwaukee, WI 53226 | 2020-06-03 |
| 1669001103 | Kimberly Tyler | Student in an Organized Health Care Education/Training Program | 8701 W Watertown Plank Road, Medical College of Wisconsin Dept of Internal Medicine, Wauwatosa, WI 53226 | 2020-04-06 |
| 1972131993 | Francesca Meloy Devine | Student in an Organized Health Care Education/Training Program | Medical Education Office: Children's Corporate Center, 999 N. 92nd St., Suite 730, Milwaukee, WI 53226 | 2020-03-27 |
| 1285275248 | Sharitta Alford | Technician | 12250 West North Avenue, Apartment 142b, Wauwatosa, WI 53226 | 2019-10-01 |
| 1619528023 | Linda Marie Sabatinelli | Technician | 12107 W. Woodland Ave, Wauwatosa, WI 53226 | 2019-09-26 |
| 1598310195 | Matthew Laviolette | Surgery | Medical College of Wisconsin, 8701 Watertown Plank Rd., Surgical Oncology, Milwaukee, WI 53226 | 2019-08-09 |
| 1962056432 | Lyndsey Marie Bratberg | Physician Assistant | F&mcw Clinical Cancer Center 9200 W. Wisconsin Ave., Milwaukee, WI 53226 | 2019-08-01 |
| 1659832855 | Benjamin David Seadler | Surgery | Mcw, Department of Surgery, 8701 Watertown Plank Road, Milwaukee, WI 53226 | 2019-03-29 |
| 1861953267 | Michael Dryden | Student in an Organized Health Care Education/Training Program | 8701 Watertown Plank Rd., Milwaukee, WI 53226 | 2019-03-27 |
| Find all providers in zip 53226 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215393905 | Pamela Schultz | Nurse Practitioner | 201 N Mayfair Rd, Wauwatosa, WI 53226-4216 | 2016-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436821 | Elizabeth Stevenson | Nurse Practitioner | 1021 Gilson St, Madison, WI 53715-1721 | 2020-11-01 |
| 1427678176 | Cody Cameron Brunet | Nurse Practitioner | 1002 Bultman Rd, Madison, WI 53704-8933 | 2020-04-23 |
| 1023643434 | Rochelle Allexia Codlyn | Nurse Practitioner | 2268 Manley Dr, Sun Prairie, WI 53590-9688 | 2020-03-05 |
| 1861953960 | Youa Thao | Nurse Practitioner | 132 Devonshire Ct Apt 2, Plover, WI 54467-4194 | 2019-03-29 |
| 1053886465 | Elizabeth A Jarecki | Nurse Practitioner | 3115 Lilly Rd Unit 209, Brookfield, WI 53005-7612 | 2018-10-11 |
| 1669862868 | Jami Marie Lyons | Nurse Practitioner | 234 Cashman Dr, Chippewa Falls, WI 54729-3543 | 2015-01-27 |
| 1619374816 | Melissa Kaye Miller | Nurse Practitioner | 710 W Starin Rd, Whitewater, WI 53190-1121 | 2014-12-03 |
| 1275703233 | Mary Ellen Devine Touhey | Nurse Practitioner | N79w28630 Appaloosa Ln, Hartland, WI 53029-9038 | 2008-03-06 |
| 1366636797 | Karen R. Sinnett | Nurse Practitioner | 125 W Nebraska St, Muscoda, WI 53573 | 2007-08-29 |
| 1508851239 | Rita Marie Thomas | Nurse Practitioner | 910 Fremont St, 217 Delzell Hall, Uwsp, Stevens Point, WI 54481-3105 | 2005-09-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MS. JANELLE MARIE PETINGA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.