Jennifer Diane Johnson, FNP - Medicare Nurse Practitioner in Waukesha, WI

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Jennifer Diane Johnson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Waukesha, Wisconsin. She graduated from nursing school in 2014 and has 10 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 725 American Avenue, Waukesha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (212) 928-8800.

Jennifer Diane Johnson is licensed to practice in Wisconsin (license number 6088-33) 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 1043615560.

Contact Information

Jennifer Diane Johnson, FNP
725 American Avenue,
Waukesha, WI 53188
(212) 928-8800
(262) 928-0648

Map and Direction




Provider's Profile

Full NameJennifer Diane Johnson
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location725 American Avenue, Waukesha, Wisconsin
Accepts Medicare AssignmentsYes. 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 Diane Johnson graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1043615560
  • Provider Enumeration Date: 10/27/2014
  • Last Update Date: 07/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1658695077
  • Enrollment ID: I20150113001122

Medical Identifiers

Medical identifiers for Jennifer Diane Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043615560NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 171464-30 (Wisconsin)Secondary
363L00000XNurse Practitioner 6088-33 (Wisconsin)Secondary
363LF0000XNurse Practitioner - Family 6088-33 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Waukesha Memorial HospitalWaukesha, WIHospital
Oconomowoc Memorial HospitalOconomowoc, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prohealth Medical Group Inc3476465188416

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 Diane Johnson allows following entities to bill medicare on her behalf.
Entity NameProhealth Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356322440
PECOS PAC ID: 3476465188
Enrollment ID: O20031103000066
Entity NameAurora Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Entity NameWest Allis Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407801640
PECOS PAC ID: 5395656003
Enrollment ID: O20040303000829

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 Diane Johnson 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 AddressPractice Location Address
Jennifer Diane Johnson, FNP
27431 N. Lake Drive,
Waterford, WI 53185

Ph: (608) 358-8449		Jennifer Diane Johnson, FNP
725 American Avenue,
Waukesha, WI 53188

Ph: (212) 928-8800

Reviews and Comments


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Katelyn Ryman, NP
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Annette Quinn, NP
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Renelle L Staus, NP
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Phone: 262-896-6000    
Ms. Danielle Marie Bernacchi, MSN, FNP-C, APNP
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Practice Location: W308s2809 Wild Berry Ct, Waukesha, WI 53188
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Miss Amelia Tollefson, APNP
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Phone: 866-389-2727    
Katie L Scott, APNP
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Practice Location: 721 American Ave Ste 310, Waukesha, WI 53188
Phone: 262-928-5900    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.