Jennifer Diane Johnson is a Family Nurse Practitioner practicing in Waukesha, Wisconsin. The National Provider Identifier (NPI) is #1043615560, which was assigned on October 27, 2014, and the registration record was last updated on December 12, 2024. The practitioner's main practice location is at 725 American Avenue, Waukesha, WI 53188; the contact telephone number is 2129288800, and the fax number is 2629280648. The primary taxonomy of Jennifer Diane Johnson is Family Nurse Practitioner (363LF0000X), with specialization in Family. Jennifer Diane Johnson is licensed to practice in the state of Wisconsin (#6088-33), Wisconsin (#171464-30), Wisconsin (#6088-33).
| NPI | 1043615560 |
| Entity Type | Individual |
| Provider Name | JENNIFER DIANE JOHNSON |
| Other Name |
JENNIFER DIANE PSOTA (Former Name) |
| Gender | Female |
| Credential | FNP |
| Other Credential | FNP |
| Practice Address |
725 American Avenue Waukesha WI 53188 |
| Practice Telephone | 2129288800 |
| Practice Fax Number | 2629280648 |
| Mailing Address |
27431 N. Lake Drive Waterford WI 53185 |
| Mailing Telephone | 6083588449 |
| Certification Date | 2024-12-12 |
| Enumeration Date | 2014-10-27 |
| Last Update Date | 2024-12-12 |
| Is Sole Proprietor | N |
| PAC ID |
1658695077 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | JENNIFER JOHNSON |
| Primary Specialty | NURSE PRACTITIONER |
| Organization Legal Name | PROHEALTH MEDICAL GROUP INC |
| Address |
725 American Ave Waukesha WI 53188-5031 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 6088-33 | WI | ||
| N | 163W00000X | Registered Nurse | 171464-30 | WI | ||
| Y | 363LF0000X | Nurse Practitioner | Family | 6088-33 | WI |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 100041913 | WI | MEDICAID |
| Address | Telephone | Fax |
|---|---|---|
| 725 American Ave, Waukesha, WI 531885031 | 2629288800 |
| Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
| Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| Classification | Nurse Practitioner |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: (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. |
| Code | 163W00000X |
| Taxonomy | Registered Nurse |
| Classification | Registered Nurse |
| Grouping | Nursing Service Providers |
| Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
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|---|---|---|---|
| Yardley Wendy Beauvil | 198 Route 303, Valley Cottage, NY 10989-2019 | Family Nurse Practitioner | 2026-06-06 |
| Teneka Simms | 1265 Union Ave, Memphis, TN 38104-3415 | Family Nurse Practitioner | 2026-06-06 |
| Myra Rosario Garza | 900 S Bryan Rd, Mission, TX 78572-6613 | Family Nurse Practitioner | 2026-06-06 |
| Danielle Obrien | 2126 Chelsea Dr, Loveland, CO 80538-4308 | Family Nurse Practitioner | 2026-06-06 |
| Yasmin Ali | 2020 Maltby Rd Ste 7, Pmb266, Bothell, WA 98021-8669 | Family Nurse Practitioner | 2026-06-06 |
| Crystal Jordan | 18496 Sky Ln, Saucier, MS 39574-9686 | Family Nurse Practitioner | 2026-06-06 |
| Elizabeth Ruby Rainwater | 23625 Holman Hwy, Monterey, CA 93940-5902 | Family Nurse Practitioner | 2026-06-06 |
| Shakeara Latoya Johnson · Shakeara Latoya Powell | 301 Freedom Dr, Roanoke, TX 76262-3302 | Family Nurse Practitioner | 2026-06-06 |
| Cathy Mercedes Sanchez | 1901 Sw 172nd Ave, Miramar, FL 33029-5592 | Family Nurse Practitioner | 2026-06-06 |
| Jennifer Hendricks | 6201 N Suncoast Blvd, Crystal River, FL 34428-6712 | Family Nurse Practitioner | 2026-06-06 |
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| Street Address |
725 AMERICAN AVENUE |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Mary Conti Swiontoniowski | 725 American Avenue, Room 2036, Waukesha, WI 53188 | Hospitalist Physician | 2006-02-13 |
| Patrick Robert Gangnon | 725 American Avenue, Waukesha, WI 53188 | Speech-Language Pathologist | 2007-09-05 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Zoe Penczykowski | 514 Riverview Avenue, Waukesha, WI 53188 | Case Manager/Care Coordinator | 2022-07-26 |
| Lynne Sarah Alva | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | Dental Hygienist | 2016-09-01 |
| Ashley Susan Callahan | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | Dental Hygienist | 2018-07-19 |
| Therapeutic Healing, LLC | 2609 N. Grandview Blvd., Suite 150, Waukesha, WI 53188 | Occupational Therapist | 2014-02-13 |
| Loyal Loving Hands Healthcare LLC | N91w24400 Riverwood Drive, Suite 350, Waukesha, WI 53188 | Personal Care Attendant | 2025-05-02 |
| Rhonda Schroeder | W286 N991 Shepherds Way, Waukesha, WI 53188 | Dental Hygienist | 2014-04-29 |
| Melissa Ann Kohnert | N17w24222 Riverwood, 170, Pewaukee, WI 53188 | Clinical Social Worker | 2024-12-09 |
| Emily Elizabeth Seefeld | 29667 Summit Ave S11, Waukesha, WI 53188 | Occupational Therapy Assistant | 2018-12-05 |
| Patricia Marie Sombrio · Sombrio Marie Vanderheyden | 711 Moreland Blvd 204, Waukesha, WI 53188 | Dental Hygienist | 2017-09-04 |
| Breathe Wellness & Prenatal Care LLC | 2607 N. Gradview Blvd, Suite 110, Waukesha, WI 53188 | Mental Health Clinic/Center (Including Community Mental Health Center) | 2024-01-26 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jennifer Johnson | 360 Colborne St, Saint Paul, MN 55102-3299 | Speech-Language Pathologist | 2026-04-13 |
| Jennifer Mary Johnson | 1105 E Grand Ave, Rothschild, WI 54474-1024 | Registered Nurse | 2026-04-24 |
| Jennifer Joyce Johnson | 3400 Highway 78 E, Jasper, AL 35501-8956 | Speech-Language Pathologist | 2026-03-03 |
| Sarah Diane Anderson · Sarah Diane Carlson | 6085 7th St Ne, Fridley, MN 55432-5534 | Speech-Language Pathologist | 2026-04-13 |
| Jennifer Diane Clausen | 1245 Charnelton St Ste 7, Eugene, OR 97401-6206 | Massage Therapist | 2026-04-07 |
| Shannon Diane Chrisman · Shannon Diane Rilatos | 311 Se Dorion Ave, Pendleton, OR 97801-2529 | Mental Health Counselor | 2026-03-23 |
| Jennifer L. Johnson | 915 Highland Blvd, Bozeman, MT 59715-6902 | Registered Dietitian | 2026-03-09 |
| Jennifer R Johnson | 20050 Havard Ave, Warrenville Heights, OH 44122-6805 | Nurse Practitioner | 2019-08-28 |
| Diane Marie Vich · Diane Marie La Roz | 11501 N Military Trl, Palm Beach Gardens, FL 33410-6507 | Registered Nurse | 2026-04-11 |
| Diane L Reid · Diane L Richardson | 3717 Mt Pinos Way, Ste C D, Fraziek Park, CA 93225 | Marriage & Family Therapist | 2007-03-13 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |