JILL WAGNER (NPI# 1568638351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568638351 |
| Entity Type | Individual |
| Full Name | JILL WAGNER |
| Credential | RN, RCS |
| Practice Address |
154 N 15th Ave West Bend WI 53095-3023 |
| Practice Telephone | 2623348158 |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
154545 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 35032000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487119343 | Jill Wagner | Nurse's Aide | 7710 W Ih 10, San Antonio, TX 78230-4711 | 2019-02-05 |
| 1992294987 | Jill Marie Wagner | Health Educator | 704 1st Dr Nw, Austin, MN 55912-3099 | 2018-05-04 |
| 1043724206 | Jill Christine Wagner | Social Worker | 200 1st St Sw, Rochester, MN 55905-0001 | 2017-11-27 |
| 1932596582 | Jill Wagner | Pharmacist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2015-04-22 |
| 1518290360 | Jill Karen Wagner | Physical Therapist | 450 W Broad St, Suite 214-a, Falls Church, VA 22046-3340 | 2009-09-11 |
| 1699881425 | Jill M Wagner | Family Medicine | 9252 N Green Bay Rd, Brown Deer, WI 53209 | 2006-08-22 |
| 1023097516 | Jill M Wagner | Obstetrics & Gynecology | 306 Westwood Ave, Suite 501, High Point, NC 27262-4341 | 2006-01-12 |
| Street Address |
154 N 15TH AVE |
| City | WEST BEND |
| State | WI |
| Zip Code | 53095-3023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942820428 | David Fountain | Contractor | 726 Creedwood Lane, West Bend, WI 53095 | 2020-04-24 |
| 1922664358 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 1745 South Main St, West Bend, WI 53095 | 2019-05-10 |
| 1912423773 | Michelle R Prentice | Family Medicine | West Bend Health Center, 1700 W. Paradise Drive, West Bend, WI 53095 | 2017-08-14 |
| 1386165918 | Quad/med, LLC | Clinic/Center | 432 E. Washington St. #1115, West Bend, WI 53095 | 2017-07-05 |
| 1508230632 | Jesen Daniel | Counselor | 111 East Washington St, Affiliated Clinical Services, West Bend, WI 53095 | 2015-12-01 |
| 1477965259 | Jenna Crofts | Specialist/Technologist | 1190 East Paradise Drive, West Bend, WI 53095 | 2014-05-28 |
| 1023436342 | Visionworks | Optometrist | 1437 S. Main St., West Bend, WI 53095 | 2014-04-03 |
| 1295157295 | Stephanie Rabe | Registered Nurse | 910 E. Paradise Drive, West Bend, WI 53095 | 2014-01-09 |
| 1477898815 | Ralph Norman Olsen | Pediatrics | 6267 Riesch Road, West Bend, WI 53095 | 2012-12-11 |
| 1932458536 | Joshua Aaron Barta | Dentist | 2090 Continental Drive, West Bend, WI 53095 | 2012-08-29 |
| Find all providers in zip 53095 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124291588 | Jill May Krell | Registered Nurse | 4580 Beaver Dam Rd, West Bend, WI 53090-9306 | 2008-04-08 |
| 1013110063 | Mary Kathleen Cutler | Registered Nurse | 101 Maplewynde Rd, West Bend, WI 53095 | 2007-06-07 |
| 1881804789 | Julie Ilene Olson | Registered Nurse | 2360 Lockhorn Cir, West Bend, WI 53090-1200 | 2007-05-22 |
| 1861538340 | Shelley Lynn West | Registered Nurse | 6190 Congress Dr, West Bend, WI 53095-8103 | 2007-01-30 |
| 1548282031 | Christine Ann Bath | Registered Nurse | 687 North St, West Bend, WI 53090-2515 | 2006-07-24 |
| 1487693230 | Evelyn H Brugger | Registered Nurse | 831 D Devonshire Lane, West Bend, WI 53090 | 2006-06-06 |
| 1508267410 | Jordan Mark Schneider | Registered Nurse | 524 Pennsylvania Ave, West Bend, WI 53095-4138 | 2014-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033717111 | Emilie S Steiner | Registered Nurse | 1121 River Place Blvd, Waukesha, WI 53189-7871 | 2020-10-12 |
| 1447858733 | Kelly Wendt | Registered Nurse | 204 Morrissey Dr, North Prairie, WI 53153-9732 | 2020-10-09 |
| 1942815683 | Catherine Mary Waldvogel | Registered Nurse | W8046 Moose Lake Rd, Antigo, WI 54409-8961 | 2020-09-10 |
| 1407468176 | Pageen Manolis Small | Registered Nurse | 308 Owen Rd, Monona, WI 53716-3526 | 2020-08-23 |
| 1932717410 | Paulette Jo Whalen | Registered Nurse | W267s7535 Olympia Ct N, Waukesha, WI 53189-9637 | 2020-07-21 |
| 1760009419 | Kerstin Leslie Nedegaard | Registered Nurse | W1080 Mohawk Valley Rd, Stoddard, WI 54658-9025 | 2020-06-29 |
| 1477177079 | Chanelle Anshela Causey | Registered Nurse | 3840 N 57th St, Milwaukee, WI 53216-2216 | 2020-05-31 |
| 1093339756 | April Schoeller | Registered Nurse | 4327 Huntinghorne Dr, Janesville, WI 53546-3541 | 2020-05-28 |
| 1255954822 | Karen M Johnson | Registered Nurse | 7555 Franklin St, Iron River, WI 54847-3420 | 2020-05-18 |
| 1487276705 | Monica Lynn Paar | Registered Nurse | 21343 Wolfe Run Ln Apt 3a, Galesville, WI 54630-8794 | 2020-05-08 |
| 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.