PATRICIA A JACOBSON (NPI# 1689608010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689608010 |
| Entity Type | Individual |
| Full Name | PATRICIA A JACOBSON |
| Credential | APNP |
| Practice Address |
502 Main St Black River Falls WI 54615-1648 |
| Practice Telephone | 7152842003 |
| Practice Fax Number | 7152842008 |
| Mailing Telephone | 7152842003 |
| Mailing Fax Number | 7152842008 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2016-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
992 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 43899100 | 05 |
| Street Address |
502 MAIN ST |
| City | BLACK RIVER FALLS |
| State | WI |
| Zip Code | 54615-1648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670994 | Kathleen M Kett | Advanced Practice Midwife | 502 Main St, Black River Falls, WI 54615-1648 | 2005-06-22 |
| 1962045393 | Amy Jeanne Defranco | Nurse Practitioner | 502 Main St, Black River Falls, WI 54615-1648 | 2019-10-17 |
| 1437438157 | Footprints In Time Midwifery Services LLC | Clinic/Center | 502 Main St, Black River Falls, WI 54615-1648 | 2011-08-11 |
| 1285921080 | Rebecca L Amberg | Registered Nurse | 502 Main St, Black River Falls, WI 54615 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104339118 | Lori Jean Mohring | Counselor | 420 Wi-54, Black River Falls, WI 54615 | 2017-11-13 |
| 1184095788 | Robert Anthony Zupancich | Pharmacist | 611 Hwy 54 East, Black River Falls, WI 54615 | 2015-10-08 |
| 1932545902 | Hera Jane Lonetree-rindahl | Counselor | W9850 Airport Rd, Black River Falls, WI 54615 | 2013-05-17 |
| 1902141344 | Mary Jane Jones | Pharmacist | 610 West Adams St., Black River Falls, WI 54615 | 2012-12-11 |
| 1285905844 | Vera Ellen Heubel | Registered Nurse | N6520 Lumber Jack Guy Road, Black River Falls, WI 54615 | 2012-01-13 |
| 1295048361 | Megan Ryan | Dentist | N6571 Lumberjack Guy Road, Black River Falls, WI 54615 | 2010-07-19 |
| 1912147828 | Evangeline M Suquet | Counselor | W9850 Airport Road, Black River Falls, WI 54615 | 2009-03-05 |
| 1407091192 | Holly Kay Rodenberg | Registered Nurse | N6520 Lumber Jack Guy Rd, Black River Falls, WI 54615 | 2008-12-09 |
| 1841467636 | Pamela Listle | Speech-Language Pathologist | 711 West Adams St., Black River Falls, WI 54615 | 2008-05-12 |
| 1285778969 | Black River Family Dentistry Ltd | Dentist | N6625 County Hwy A, Black River Falls, WI 54615 | 2007-02-16 |
| Find all providers in zip 54615 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962045393 | Amy Jeanne Defranco | Nurse Practitioner | 502 Main St, Black River Falls, WI 54615-1648 | 2019-10-17 |
| 1659843365 | Heather Struensee | Nurse Practitioner | 711 W Adams St, Black River Falls, WI 54615-2200 | 2018-12-19 |
| 1356821490 | Jennifer Christine Hanson | Nurse Practitioner | 711 W Adams St, Black River Falls, WI 54615-9108 | 2018-08-17 |
| 1295143394 | Tamara Insteness | Nurse Practitioner | 711 W Adams St, Black River Falls, WI 54615 | 2014-08-01 |
| 1841386232 | Christine R Seguin | Nurse Practitioner | N6520 Lumberjack Guy Rd, Black River Falls, WI 54615 | 2006-10-05 |
| 1841386133 | Sue M Christopherson | Nurse Practitioner | N6520 Guy Road, Black River Falls, WI 54615 | 2006-10-05 |
| 1427089135 | Krista D Anderson | Nurse Practitioner | 610 W Adams St, Black River Falls, WI 54615-9010 | 2006-07-05 |
| 1588653919 | Tina Louise Opelt | Nurse Practitioner | 711 W Adams St, Black River Falls, WI 54615-5052 | 2005-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
| City | BLACK RIVER FALLS |
| Zip Code | 54615 |
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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.