MRS. JACKIE MARIE RIETZ (NPI# 1326691254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326691254 |
| Entity Type | Individual |
| Full Name | MRS. JACKIE MARIE RIETZ |
| Credential | APNP, FNP-C |
| Practice Address |
3400 Ministry Pkwy Weston WI 54476-5220 |
| Mailing Address |
221 Lavina Dr Wausau WI 54401-3802 |
| Practice Telephone | 7153933000 |
| Mailing Telephone | 7158920616 |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2019-07-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
9354-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3400 MINISTRY PKWY |
| City | WESTON |
| State | WI |
| Zip Code | 54476-5220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730175480 | Nicolaus Adolf Schermer | Nurse Anesthetist, Certified Registered | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2005-09-27 |
| 1952908808 | Marshfield Clinic, Inc. | Non-Pharmacy Dispensing Site | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2020-10-05 |
| 1801407630 | Mchs Hospitals, Inc. | Durable Medical Equipment & Medical Supplies | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2020-08-14 |
| 1902437650 | Mchs Hospitals, Inc. | General Acute Care Hospital | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2020-01-31 |
| 1295299394 | Ascension Wisconsin Pharmacy, Inc. | Pharmacy | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2019-01-23 |
| 1124503677 | Daniel Carl Peterson | Nurse Anesthetist, Certified Registered | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2018-10-01 |
| 1730669763 | Becky Schmidt | Nurse Anesthetist, Certified Registered | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2018-08-20 |
| 1154812303 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2018-05-23 |
| 1235645193 | Erin Taylor | Nurse Practitioner | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2017-12-14 |
| 1124544184 | James E Conner | Nurse Practitioner | 3400 Ministry Pkwy, Weston, WI 54476-5220 | 2017-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407406309 | Kelly Hodge | Technician | 118 Marguerite St, Schofield, WI 54476 | 2019-09-13 |
| 1427557529 | Brandon David Parmer | Licensed Practical Nurse | 134 Kurth St, Schofield, WI 54476 | 2018-02-05 |
| 1558880583 | Kellie Cares Medical, LLC | Non-emergency Medical Transport (VAN) | 4311 Schofield Ave, #97, Weston, WI 54476 | 2017-09-11 |
| 1679018022 | Alexis Legenza | Behavioral Analyst | 4601 Camp Phillips Rd, Weston, WI 54476 | 2016-12-21 |
| 1699176487 | Reenu Mathew | Pharmacist | 5305 U.S. Hwy Business 51, Weston, WI 54476 | 2014-09-11 |
| 1063812246 | Brian Weiland | Psychologist | 2405 Schofield Ave Ste 220, Weston, WI 54476 | 2014-08-25 |
| 1194087759 | Susan C Coady | Physical Therapist | 4605 Valres Springs Court, Weston, WI 54476 | 2012-06-11 |
| 1053437467 | Emmie Jo Kasat | Speech-Language Pathologist | 4605 Valdres Springs Court, Weston, WI 54476 | 2007-03-21 |
| 1326181322 | Lisa Marie Skutak | Dentist | 700 Eagle Nest Boulevard, Suite E, Rothschild, WI 54476 | 2007-02-15 |
| 1205976776 | Quirt Family Dentistry Sc | Dentist | 3417 Schofield Avenue, Schofield, WI 54476 | 2007-02-07 |
| Find all providers in zip 54476 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245652 | Manuel Salvador Portillo | Nurse Practitioner | 4383 Foxtail Ln, Weston, FL 33331-3842 | 2020-11-04 |
| 1336756709 | Daniella Lupis | Nurse Practitioner | 792 Verona Lake Dr, Weston, FL 33326-3537 | 2020-09-29 |
| 1487288288 | Marcella Patino | Nurse Practitioner | 2300 North Commerce Parkway, Suite 313, Weston, FL 33326 | 2020-03-02 |
| 1083245237 | Andrea Dotti | Nurse Practitioner | 1278 Canary Island Dr, Weston, FL 33327-2346 | 2020-01-27 |
| 1306489661 | Reynaldo Leyva Infante | Nurse Practitioner | 437 Lakeview Dr Apt 102, Weston, FL 33326-2449 | 2019-10-18 |
| 1033771167 | Anne Elizabeth Crockett | Nurse Practitioner | 1850 Lakeshore Dr, Weston, FL 33326-2349 | 2019-06-28 |
| 1457828030 | Tamara Ines Estevez | Nurse Practitioner | 201 Racquet Club Rd # 5523, Weston, FL 33326-3100 | 2018-10-31 |
| 1619471547 | Farida Makubelly Law | Nurse Practitioner | 3100 Cleveland Clinic, Weston, FL 33331 | 2018-03-23 |
| 1427556604 | Florence Dauphin Philippe | Nurse Practitioner | 2649 Edgewater Dr, Weston, FL 33332-3400 | 2018-01-23 |
| 1124573217 | Ramon Perez | Nurse Practitioner | 1947 Harbor View Cir, Weston, FL 33327-1342 | 2016-08-18 |
| Find all providers in WESTON | ||||
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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.