MRS. JENNIFER ANN CRNKOVICH (NPI# 1952619959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952619959 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER ANN CRNKOVICH |
| Credential | APNP |
| Practice Address |
W307 S7835 Applewood Lane Mukwonago WI 53149 |
| Practice Telephone | 4149401873 |
| Mailing Telephone | 4149401873 |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2015-12-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4162 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
4162-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
W307 S7835 APPLEWOOD LANE |
| City | MUKWONAGO |
| State | WI |
| Zip Code | 53149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720433790 | Orthopaedic Associates of Wisconsin Sc | Physical Medicine & Rehabilitation | 1231 S Rochester St Ste 100, Mukwonago, WI 53149 | 2016-04-27 |
| 1952724304 | Therapeutic Healing, LLC | Clinic/Center | S77 W30705 Mosher Dr., Mukwonago, WI 53149 | 2014-01-21 |
| 1659667087 | Joan Maria Stevenson | Occupational Therapist | 111 Aktinson St., Unit 2, Mukwonago, WI 53149 | 2011-06-23 |
| 1770873515 | Kimberly Lynn Schmor | Licensed Practical Nurse | 833 Pinehurst Dr, Mukwonago, WI 53149 | 2011-04-13 |
| 1841460839 | Wendy Schmidt | Occupational Therapist | 1231 S Rochester St Ste 210, Mukwonago, WI 53149 | 2008-03-05 |
| 1659589570 | Pamela Ann Mcwilliams | Dentist | 603 North Rochester St., Mukwonago, WI 53149 | 2007-05-21 |
| 1891823787 | Rosalind J Boyer-cole | Anesthesiology | S86w26640 Rustic View Ln, Mukwonago, WI 53149 | 2007-03-01 |
| 1184777435 | Michael F Connor | Dentist | 603 N Rochester Street, Mukwonago, WI 53149 | 2007-01-19 |
| 1912057159 | Leah Mary Hudson | Occupational Therapist | 103 Apollo Ct, Mukwonago, WI 53149 | 2007-01-11 |
| 1699861021 | Jeffrey D Gentile | Family Medicine | 120 Chapman Farm Boulevard, Mukwonago, WI 53149 | 2006-10-05 |
| Find all providers in zip 53149 | ||||
| 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 |
|---|---|---|---|---|
| 1659826238 | Katie Slocum | Nurse Practitioner | 240 Maple Ave, Mukwonago, WI 53149-8475 | 2016-08-24 |
| 1972967545 | Jessica K Johnson | Nurse Practitioner | 240 Maple Ave, Prohealth Care Medical Associates Inc, Mukwonago, WI 53149-8475 | 2016-04-11 |
| 1144681222 | Carrie A Petersen | Nurse Practitioner | 240 Maple Ave, Prohealth Care Medical Associates, Mukwonago, WI 53149-8475 | 2016-03-16 |
| 1083841639 | Jennifer L. Neubauer | Nurse Practitioner | 250 Wolf Run, Suite 5, Mukwonago, WI 53149-8470 | 2009-06-22 |
| 1659488187 | Kristin T Kastner | Nurse Practitioner | 250 Wolf Run, Mukwonago, WI 53149-8470 | 2006-08-23 |
| 1902879521 | Cindy J. Scheuerell | Nurse Practitioner | Prohealth Care Medical Centers-mukwonago, 240 Maple Avenue, Mukwonago, WI 53149 | 2006-02-13 |
| 1720051345 | Shelley A.. Pignet | Nurse Practitioner | 240 Maple Ave, Prohealth Care Medical Associates, Inc., Mukwonago, WI 53149-8475 | 2006-02-13 |
| 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.