JACQUELINE EBERT (NPI# 1245876374) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245876374 |
| Entity Type | Individual |
| Full Name | JACQUELINE EBERT |
| Practice Address |
830 Edgewood Dr Green Bay WI 54311-5204 |
| Practice Telephone | 9204659977 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
830 EDGEWOOD DR |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619538618 | Alyse Gregorius | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2019-06-21 |
| 1699374447 | Heidi Van Sistine | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2020-10-22 |
| 1528675550 | Brenda Ann Skabroud | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2020-09-24 |
| 1174174379 | Christina Swartout | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2019-09-27 |
| 1154978807 | Zachary Zellner | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2019-08-19 |
| 1235784695 | Ellie Ruleford | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2019-08-02 |
| 1740834472 | Savannah Jane Stpeter | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2019-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333847 | Karen Ginnow | Pharmacist | Walmart #1908, 2292 Main St, Green Bay, WI 54311 | 2020-10-15 |
| 1639786551 | Maggie Hall | Dental Hygienist | 2633 Development Dr. Ste 40, Green Bay, WI 54311 | 2020-09-24 |
| 1295370807 | Jennifer Marie Arendt | Technician | 2970 Mossy Oak Cir #39, Green Bay, WI 54311 | 2019-11-07 |
| 1518508803 | Cheryl Ann Johnson | Specialist | 830 Edgewood Dr., Green Bay, WI 54311 | 2019-10-08 |
| 1124670898 | Robert H Wagner Family Dentist S.c. | Dentist | 2830 Curry Court, Suite 1, Green Bay, WI 54311 | 2019-07-12 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1578052866 | Matthew Robert Wagner | Dentist | 2830 Curry Ln #1, Green Bay, WI 54311 | 2018-05-02 |
| 1861916769 | Atlas Spinal Care | Chiropractor | 2069 Central Ct, Suite 11, Green Bay, WI 54311 | 2017-08-01 |
| 1851844161 | Green Bay Family Dental LLC | Dentist | 2609 Development Dr., Green Bay, WI 54311 | 2016-08-03 |
| 1710382809 | Betsy Hoida | Pharmacist | 2485 Greenbrier Rd., Green Bay, WI 54311 | 2014-10-31 |
| Find all providers in zip 54311 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598307423 | Jean Marie Castaneda | Case Manager/Care Coordinator | 2517 N. Court, Green Bay, WI 54303 | 2019-10-11 |
| 1205480985 | Kate Christnot | Case Manager/Care Coordinator | 2517 N View Ct, Green Bay, WI 54303-6233 | 2019-07-30 |
| 1619538618 | Alyse Gregorius | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2019-06-21 |
| 1467925032 | Jessica Rebecca King | Case Manager/Care Coordinator | 217 N Madison St Ste 4, Green Bay, WI 54301-5103 | 2019-01-07 |
| 1699374447 | Heidi Van Sistine | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2020-10-22 |
| 1528675550 | Brenda Ann Skabroud | Case Manager/Care Coordinator | 830 Edgewood Dr, Green Bay, WI 54311-5204 | 2020-09-24 |
| 1932719663 | James Walker Jr. | Case Manager/Care Coordinator | 2517 N View Ct, Green Bay, WI 54303-6233 | 2020-08-07 |
| 1922637180 | Brianna Marie Hagenow | Case Manager/Care Coordinator | Lutheran Social Services of Wi, 830 Edgewood Drive, Green Bay, WI 54311 | 2020-04-08 |
| 1396380622 | Anna Joll | Case Manager/Care Coordinator | 2517 N View Ct, Green Bay, WI 54303-6233 | 2019-11-11 |
| 1407498496 | Kesley Kathryn Jones | Case Manager/Care Coordinator | 2517 N View Ct, Green Bay, WI 54303-6233 | 2019-10-11 |
| Find all providers in GREEN BAY | ||||
Please comment or provide details below to improve the information on JACQUELINE EBERT.
| 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.