JODI L WIEBELHAUS (NPI# 1457551764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457551764 |
| Entity Type | Individual |
| Full Name | JODI L WIEBELHAUS |
| Credential | NP |
| Practice Address |
785 Summit Ave Oconomowoc WI 53066-3844 |
| Mailing Address |
N17w24100 Riverwood Dr Suite 250 Waukesha WI 53188-1177 |
| Practice Telephone | 2625698488 |
| Mailing Telephone | 2629284100 |
| Mailing Fax Number | 2629285835 |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2011-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 135847-030 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
785 SUMMIT AVE |
| City | OCONOMOWOC |
| State | WI |
| Zip Code | 53066-3844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518009257 | Prohealth Care Medical Associates Inc | Obstetrics & Gynecology | 785 Summit Ave, Suite 203, Oconomowoc, WI 53066-3844 | 2007-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376109082 | Sharon Legwinski | Occupational Therapist | 2195 N. Summit Way, Oconomowoc, WI 53066 | 2019-05-17 |
| 1033676390 | Paladina Health, LLC | Family Medicine | Paladina Health Oconomowoc Sentry Equipment Circle, 966 Blue Ribbon Circle N, Oconomowoc, WI 53066 | 2019-02-22 |
| 1689145500 | Oconomowoc Developmental Training Center of Wisconsin LLC | Residential Treatment Facility, Emotionally Disturbed Children | 36100 Genesee Lake School, Oconomowoc, WI 53066 | 2018-12-17 |
| 1649748203 | Ginny Dacquisto | Dietitian, Registered | 1134 Lily Rd, Oconomowoc, WI 53066 | 2018-11-12 |
| 1174000764 | Aimee M Metzger | Social Worker | 405 E Forest St Ste 113, Oconomowoc, WI 53066 | 2018-07-26 |
| 1023482569 | Forefront Dermatology, S.c. | Dermatology | 1320 Pabst Farms Cir, Suite 180, Oconomowoc, WI 53066 | 2015-11-20 |
| 1962890475 | Monica Rodriguez | Counselor | 405 East Forest Street, Suite 119, Oconomowoc, WI 53066 | 2015-01-06 |
| 1518384643 | Kimberley Bevan | Pharmacist | 1284 East Summit Avenue, Suite 100, Oconomowoc, WI 53066 | 2014-03-26 |
| 1699098905 | Heidi Eckroth Nunnemacher | Counselor | 35315 Genesee Lake Road, Oconomowoc, WI 53066 | 2010-03-02 |
| 1669705240 | Oconomowoc Development Training Center Ll | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3222 N. Silver Cedar Rd., Oconomowoc, WI 53066 | 2009-09-14 |
| Find all providers in zip 53066 | ||||
| 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 |
|---|---|---|---|---|
| 1023137866 | Gail Buchberger | Nurse Practitioner | 985 Hickory Creek Dr, Oconomowoc, WI 53066-3585 | 2007-03-29 |
| 1538128954 | Vicki L Tetzlaff | Nurse Practitioner | 1205 Corporate Center Dr, Prohealth Care Medical Associates Inc., Oconomowoc, WI 53066-4898 | 2006-03-23 |
| 1639143662 | Donna M. Voigt | Nurse Practitioner | 1185 Corporate Center Dr Ste 175, Prohealth Care Medical Associates, Oconomowoc, WI 53066-4889 | 2006-02-15 |
| 1013346725 | Jodi Tompitch | Nurse Practitioner | 34700 Valley Rd, Oconomowoc, WI 53066-4500 | 2013-11-03 |
| 1861736399 | Susan E Blair | Nurse Practitioner | 34700 Valley Rd, Oconomowoc, WI 53066 | 2012-11-21 |
| 1073798344 | Karen L Youngquist | Nurse Practitioner | 1284 N Summit Ave, Oconomowoc, WI 53066-4459 | 2008-01-07 |
| 1760595110 | Mary E Taggett | Nurse Practitioner | 1185 Corporate Center Dr, Ste 175, Oconomowoc, WI 53066-4887 | 2006-08-17 |
| 1891771895 | Danielle Leonard | Nurse Practitioner | 791 E Summit Ave, Oconomowoc, WI 53066-3844 | 2005-12-21 |
| 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 | ||||
| City | OCONOMOWOC |
| Zip Code | 53066 |
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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.