Jessica K Johnson (NPI# 1972967545, PAC ID# 8426357112) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1972967545 |
| PAC ID by PECOS | 8426357112 |
| Professional Enrollment ID | I20160502001318 |
| Full Name | Jessica K Johnson |
| Organization Legal Name | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Address |
240 Maple Ave Mukwonago WI 53149-8475 |
| Phone Number | 2629281900 |
| Gender | F |
| Graduation Year | 2015 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3476465188 |
| Number of Group Practice Members | 370 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520008 | WAUKESHA MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 240 Maple Ave, Mukwonago, WI 53149-8475 | 2629281900 | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Organization Legal Name | PROHEALTH CARE MEDICAL ASSOCIATES INC |
| Physicians | 375 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie L Scott | Nurse Practitioner | Prohealth Care Medical Associates Inc | 721 American Ave, Suite 310, Waukesha, WI 53188-5071 |
| Laurel Evans | Nurse Practitioner | Prohealth Care Medical Associates Inc | 2301 Sun Valley Dr, Delafield, WI 53018-2318 |
| Matthew Klein | Physical Therapy | Prohealth Care Medical Associates Inc | 17280 W N Ave, Suite 104, Brookfield, WI 53045-4366 |
| Kristen Fox | Family Medicine | Prohealth Care Medical Associates Inc | 210 Nw Barstow St, Suite 201, Waukesha, WI 53188-3771 |
| Dayken Underdahl | Physician Assistant | Prohealth Care Medical Associates Inc | 717 W Moreland Blvd, Waukesha, WI 53188-2432 |
| Savannah N Shores | Nurse Practitioner | Prohealth Care Medical Associates Inc | N16 W24131 Riverwood Dr, Waukesha, WI 53188-1177 |
| Crystal J Platz | Nurse Practitioner | Prohealth Care Medical Associates Inc | 785 Summit Ave, Suite 101, Oconomowoc, WI 53066-3844 |
| Jacqueline M Radaj | Nurse Practitioner | Prohealth Care Medical Associates Inc | 240 Maple Ave, Mukwonago, WI 53149-8475 |
| Lisa Drew | Nurse Practitioner | Prohealth Care Medical Associates Inc | 13750 W National Ave, New Berlin, WI 53151-4588 |
| Alyssa N Zielke | Physician Assistant | Prohealth Care Medical Associates Inc | 2750 Golf Rd, Delafield, WI 53018-2062 |
| Street Address |
240 MAPLE AVE |
| City | MUKWONAGO |
| State | WI |
| Zip | 53149-8475 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacqueline M Radaj | Nurse Practitioner | Prohealth Care Medical Associates Inc | 240 Maple Ave, Mukwonago, WI 53149-8475 |
| Carrie Petersen | Nurse Practitioner | Prohealth Care Medical Associates Inc | 240 Maple Ave, Mukwonago, WI 53149-8475 |
| Landen L Rentmeester | Emergency Medicine | Emergency Medical Associates of Waukesha | 240 Maple Ave, Mukwonago, WI 53149-8475 |
| Timothy W Westlake | Emergency Medicine | Emergency Medical Associates of Waukesha | 240 Maple Ave, Mukwonago, WI 53149-8475 |
| Alison R Wittchow | Family Medicine | Prohealth Care Medical Associates Inc | 240 Maple Ave, Mukwonago, WI 53149-8475 |
| Daniel E Johnson | Family Medicine | Prohealth Care Medical Associates Inc | 240 Maple Ave, Mukwonago, WI 53149-8475 |
| Kristin Welch | Nurse Practitioner | Prohealth Care Medical Associates Inc | 240 Maple Ave, Mukwonago, WI 53149-8475 |
| Jennifer A Niederstadt | Nurse Practitioner | Prohealth Care Medical Associates Inc | 240 Maple Ave, Mukwonago, WI 53149-8475 |
| Joseph M Wolfe | Family Medicine | Prohealth Care Medical Associates Inc | 240 Maple Ave, Mukwonago, WI 53149-8475 |
| Nathan Sockrider | Podiatry | Prohealth Care Medical Associates Inc | 240 Maple Ave, Mukwonago, WI 53149-8475 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George A Barsamian | Chiropractic | 1009 E Veterans Way, Mukwonago, WI 53149-1017 | |
| Dana Lynn Reinemann | Chiropractic | Chiropractic First S.c. | 603 N Rochester St, Mukwonago, WI 53149-1139 |
| Mark R Davis | Chiropractic | Chiropractic First S.c. | 603 N Rochester St, Mukwonago, WI 53149-1139 |
| Alyssa Christine Matthews | Chiropractic | Chiropractic First S.c. | 603 N Rochester St, Mukwonago, WI 53149-1139 |
| Shara Grover | Psychiatry | Shara Grover Md LLC | 305 Eagle Lake Ave, Mukwonago, WI 53149-1163 |
| Abigail F Jurinek | Physical Therapy | Freedom Physical Therapy Services Sc | 111 Atkinson St, Suite 2, Mukwonago, WI 53149-1439 |
| Bernard T Pratte | Physical Therapy | Freedom Physical Therapy Services Sc | 111 Atkinson St, Mukwonago, WI 53149-1439 |
| Gregory J Trulen | Chiropractic | 525 S Rochester St, Suite 4, Mukwonago, WI 53149-1661 | |
| David D Wolf | Chiropractic | 575 Bay View Rd, Suite 103, Mukwonago, WI 53149-1749 | |
| Erin M Spencer-smith | Chiropractic | Spencer Smith Chiropractic Sc | 435 Rivercrest Ct, Mukwonago, WI 53149-1759 |
| Find all physicians in zip 53149 | |||
| City | MUKWONAGO |
| Zip Code | 53149 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MUKWONAGO + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jessica K Johnson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.