JENNIFER LEA BAUMGART (NPI# 1386978260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386978260 |
| Entity Type | Individual |
| Full Name | JENNIFER LEA BAUMGART |
| Other Name | JENNIFER LEA DEGROOT |
| Credential | APNP |
| Practice Address |
305 E 12th St Kaukauna WI 54130 |
| Mailing Address |
305 E 12th St Kaukauna WI 54130-2865 |
| Practice Telephone | 9207664656 |
| Practice Fax Number | 9207664659 |
| Mailing Telephone | 9207664656 |
| Mailing Fax Number | 9207664659 |
| Enumeration Date | 2009-09-25 |
| Last Update Date | 2018-06-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 3891-033 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841661840 | Jennifer Baumgart | Counselor | 650 Howe Ave Bldg 400b, Sacramento, CA 95825-4731 | 2015-10-15 |
| Street Address |
305 E 12TH ST |
| City | KAUKAUNA |
| State | WI |
| Zip Code | 54130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316903222 | Joseph C Graunke | Family Medicine | 305 E 12th St, Kaukauna, WI 54130-2865 | 2006-04-21 |
| 1548210925 | Lori Deprez King | Nurse Practitioner | 305 E 12th St, Kaukauna, WI 54130-2865 | 2006-05-10 |
| 1386600666 | Bruce R Danz | Family Medicine | 305 E 12th St, Kaukauna, WI 54130-2865 | 2006-04-25 |
| 1447216767 | Timothy P Culligan | Family Medicine | 305 E 12th St, Kaukauna, WI 54130-2865 | 2006-04-25 |
| 1164488458 | Paul H Russo | Family Medicine | 305 E 12th St, Kaukauna, WI 54130-2865 | 2006-04-25 |
| 1679539589 | Jennifer L Schoening | Family Medicine | 305 E 12th St, Kaukauna, WI 54130-2865 | 2006-04-21 |
| 1457317273 | Kaukauna Clinic, S.c. | Family Medicine | 305 E 12th St, Kaukauna, WI 54130-2865 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194194209 | Kasey Trunk | Specialist/Technologist | W892 Hwy 96, Kaukauna, WI 54130 | 2015-09-18 |
| 1811313760 | Ekin Tongze Yang | Non-emergency Medical Transport (VAN) | 230 W. 12th St, Kaukauna, WI 54130 | 2014-03-14 |
| 1386934834 | Nichole L Huss | Counselor | N9663 Bies Rd, Kaukauna, WI 54130 | 2011-04-17 |
| 1659305878 | Aurora Pharmacy Inc | Pharmacy | 1500 Arbor Way, Suite 100, Kaukauna, WI 54130 | 2006-07-11 |
| 1164471504 | Margaret Ann Roberts | Registered Nurse | 513 Desnoyer Street, Kaukauna, WI 54130 | 2006-05-10 |
| 1578529863 | Gregory A Johnson | Family Medicine | 305 East 12th Street, Kaukauna, WI 54130 | 2006-04-25 |
| 1780646117 | Anita M. Ambrosius | Registered Nurse | 120 Washington St, Kaukauna, WI 54130 | 2006-04-03 |
| 1821614710 | Baycare Aurora Kaukauna Surgery Center LLC | Clinic/Center | 1500 Arbor Way, Kaukauna, WI 54130 | 2020-06-17 |
| 1023438579 | Erin Mae Johnson | Physician Assistant | 2601 Fieldcrest Dr, Kaukauna, WI 54130 | 2014-04-23 |
| 1154589448 | Ascension Medical Group-fox Valley Wisconsin, Inc | Clinic/Center | 2601 Fieldcrest Dr, Kaukauna, WI 54130 | 2008-05-23 |
| Find all providers in zip 54130 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760474910 | Jamie Leigh Dewitt | Nurse Practitioner | 2601 Fieldcrest Dr, Kaukauna, WI 54130-4523 | 2005-08-15 |
| 1548210925 | Lori Deprez King | Nurse Practitioner | 305 E 12th St, Kaukauna, WI 54130-2865 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639024 | Lyndsay Chapman | Nurse Practitioner | 836 W Badger Ln, West Bend, WI 53095-4502 | 2020-11-06 |
| 1346849510 | Haley Gabrielle Robers | Nurse Practitioner | 1043 Dresser Ave, Waukesha, WI 53188-4980 | 2020-10-20 |
| 1306443460 | Zhengqi Fan | Nurse Practitioner | 7850 Harwood Ave Unit 3, Wauwatosa, WI 53213-2561 | 2020-10-01 |
| 1700493566 | Karen Heckel | Nurse Practitioner | N17w24100 Riverwood Dr Ste 150, Waukesha, WI 53188-1177 | 2020-09-25 |
| 1801401252 | Jodi Lynn Tesch | Nurse Practitioner | N984 Glennview Dr, Greenville, WI 54942-8531 | 2020-09-12 |
| 1023623832 | Serena Ashour | Nurse Practitioner | 1215 Wirtz Ave, Green Bay, WI 54304-2547 | 2020-09-09 |
| 1639782915 | Ana Stoica | Nurse Practitioner | 4600 W Loomis Rd Ste 101, Greenfield, WI 53220-4858 | 2020-08-26 |
| 1235740556 | Lucille Elizabeth Nathwani | Nurse Practitioner | Uw Medical Foundation 600 Highland Ave, Madison, WI 53792-0001 | 2020-08-11 |
| 1952910010 | Dana Diane Broyles | Nurse Practitioner | 6500 W Ohio Ave, Milwaukee, WI 53219-4246 | 2020-07-24 |
| 1174149918 | Nicole Leigh Heding | Nurse Practitioner | 10421 W Birch Ave, Milwaukee, WI 53225-3211 | 2020-06-17 |
| Find all providers with the same taxonomy | ||||
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| 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.