JENNIFER M HALBACH (NPI# 1598112963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598112963 |
| Entity Type | Individual |
| Full Name | JENNIFER M HALBACH |
| Credential | APNP |
| Practice Address |
210 Wisconsin American Dr Fond Du Lac WI 54937 |
| Practice Telephone | 9209077000 |
| Mailing Telephone | 9209077000 |
| Mailing Fax Number | 9207385787 |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2018-03-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 6942 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2500 E Capitol Dr, Appleton, WI 549118735 | 9208305879 | 9207384792 |
| Street Address |
210 WISCONSIN AMERICAN DR |
| City | FOND DU LAC |
| State | WI |
| Zip Code | 54937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750374096 | James A Avery | Specialist | 210 Wisconsin American Dr, Suite #265, Fond Du Lac, WI 54935-2999 | 2005-08-23 |
| 1326609306 | Alicia Birschbach | Physical Therapy Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2019-06-21 |
| 1437673217 | Marina Dewhurst | Physical Therapist | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2017-08-02 |
| 1255855045 | Holly J Weiland | Physical Medicine & Rehabilitation | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2017-08-02 |
| 1528519758 | Betty Xiong | Physician Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2016-10-24 |
| 1578014817 | Carolyn V Essmann | Social Worker | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2016-10-21 |
| 1356725543 | Jolene K Oehlke | Nurse Practitioner | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2015-07-17 |
| 1093104887 | Adam P Whittington | Dermatology | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2015-01-15 |
| 1548667231 | Tanya Watry | Physician Assistant | 210 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2014-11-25 |
| 1932512522 | Brianna L Anderson | Audiologist | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2014-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710523774 | Lisa Diane Brown | Social Worker | W3950 Wi-23 Trunk, Fond Du Lac, WI 54937 | 2019-11-25 |
| 1538700083 | Kristine Karpen | Technician | 1812 Thurke Ave, North Fond Du Lac, WI 54937 | 2019-10-07 |
| 1962719245 | James Hugh Rupple | Ophthalmology | W4410 Mary Hill Park, Fond Du Lac, WI 54937 | 2010-09-08 |
| 1467591131 | Rosonna Sue Comers | Social Worker | N6687 Wrightway Dr, Ste D, Fond Du Lac, WI 54937 | 2007-02-06 |
| 1487731741 | Daniel James Kierstead | Optometrist | 377 N Rollings Meadows Dr, Fond Du Lac, WI 54937 | 2006-11-01 |
| 1578813606 | Joline Brotzman | Nurse Practitioner | 700 Park Ridge Ln, North Fond Du Lac, WI 54937 | 2012-09-17 |
| 1306085998 | Forefront Dermatology, S.c. | Dermatology | 111 Wisconsin American Dr, Fond Du Lac, WI 54937 | 2009-02-05 |
| 1073665527 | Optivision Eye Care LLP | Eyewear Supplier (Equipment, not the service) | 437 N Pioneer Rd, Fond Du Lac, WI 54937 | 2007-01-17 |
| 1588771778 | Julie A Sheehan | Family Medicine | 700 Park Ridge Ln, North Fond Du Lac, WI 54937 | 2006-08-24 |
| 1134777352 | Releve Physical Therapy LLC | Physical Therapist | 1909 Chapman Ave, N Fond Du Lac, WI 54937-1023 | 2019-08-30 |
| Find all providers in zip 54937 | ||||
| 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 |
|---|---|---|---|---|
| 1932608619 | Nathan Edward Adams | Nurse Practitioner | W5270 Bechaud Beach Dr, Fond Du Lac, WI 54935-1920 | 2018-02-07 |
| 1396736948 | Carol Delwiche | Nurse Practitioner | 1107 E Johnson St, Fond Du Lac, WI 54935-8925 | 2005-11-02 |
| 1144827734 | Kelly Marie Hagner | Nurse Practitioner | 480 E Division St, Fond Du Lac, WI 54935-3734 | 2020-10-06 |
| 1497308233 | Kelly Jo Rehfeldt | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2019-07-22 |
| 1083184501 | Nicole A Stodola | Nurse Practitioner | 430 E Division St, Fond Du Lac, WI 54935-4560 | 2018-11-27 |
| 1619471117 | Brittany Kornfehl | Nurse Practitioner | 459 E 1st St, Fond Du Lac, WI 54935-4505 | 2018-03-20 |
| 1508387127 | Nancy Diane Preder | Nurse Practitioner | 305 Camelot Dr, Fond Du Lac, WI 54935-8014 | 2017-07-05 |
| 1093190860 | Kasandra Flasch | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2015-07-22 |
| 1356725543 | Jolene K Oehlke | Nurse Practitioner | 210 Wisconsin American Dr, Fond Du Lac, WI 54937-2999 | 2015-07-17 |
| 1063812857 | Faye M Franklin | Nurse Practitioner | 420 E Division St, Fond Du Lac, WI 54935-4560 | 2014-08-28 |
| Find all providers in FOND DU LAC | ||||
| City | FOND DU LAC |
| Zip Code | 54937 |
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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.