Jennifer A Niederstadt, NP in Racine, WI - Medicare Nurse Practitioner

Jennifer A Niederstadt, NP is a medicare enrolled "Nurse Practitioner" in Racine, Wisconsin. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prohealth Medical Group Inc and her current practice location is 3803 Spring St, Suite 410, Racine, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 687-8260.

Jennifer A Niederstadt is licensed to practice in Wisconsin (license number 2059-033) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265655732.

Contact Information

	Jennifer A Niederstadt, NP
	3803 Spring St, Suite 410, Racine, WI 53405-1660
	(262) 687-8260
	(262) 687-8729

Map and Direction

Provider's Profile

Full Name	Jennifer A Niederstadt
Gender	Female
Speciality	Nurse Practitioner
Experience	22 Years
Location	3803 Spring St, Racine, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jennifer A Niederstadt graduated from nursing school in 2002

NPI Data:

NPI Number: 1265655732
Provider Enumeration Date: 04/11/2007
Last Update Date: 09/08/2010

Medicare PECOS Information:

PECOS PAC ID: 7012015399
Enrollment ID: I20070611000232

Medical Identifiers

Medical identifiers for Jennifer A Niederstadt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265655732	NPI	-	NPPES
43999000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	2059-033 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Waukesha Memorial Hospital	Waukesha, WI	Hospital
Oconomowoc Memorial Hospital	Oconomowoc, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prohealth Medical Group Inc	3476465188	416

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer A Niederstadt allows following entities to bill medicare on her behalf.

Entity Name	Prohealth Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer A Niederstadt is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jennifer A Niederstadt, NP 3803 Spring St, Suite 410, Racine, WI 53405-1660 Ph: (262) 687-8260	Jennifer A Niederstadt, NP 3803 Spring St, Suite 410, Racine, WI 53405-1660 Ph: (262) 687-8260

Reviews and Comments

Nurse Practitioner Nurses in Racine, WI

Erin Elizabeth Scheffer, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3 Birchwood Ct, Racine, WI 53402 Phone: 417-763-5225
Matthew Anthony Hettenbach, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1244 Wisconsin Ave, Racine, WI 53403 Phone: 262-687-2956
Mrs. Sharon L Gorsegner, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 834 Main St, Racine, WI 53403 Phone: 262-634-2060 Fax: 262-634-7173
Mary C. Manning, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1320 Wisconsin Ave, Racine, WI 53403 Phone: 262-687-2363
Janet E. Kieslich, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3805a Spring St Ste 330, Racine, WI 53405 Phone: 262-687-8640 Fax: 262-687-8641
Judith A. Bagley, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Main St, Racine, WI 53403 Phone: 262-687-6100 Fax: 262-687-2727
Ms. Jennifer L Boerger, FNP APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8348 Washington Ave, Racine, WI 53406 Phone: 262-884-4098 Fax: 262-884-4177

Jennifer A Niederstadt, NP - Medicare Nurse Practitioner in Racine, WI