Kayla Lynn Jenness, | |
1700 W Stout St, Rice Lake, WI 54868-5000 | |
(715) 236-8100 | |
Not Available |
Full Name | Kayla Lynn Jenness |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 1700 W Stout St, Rice Lake, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114578457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 193564-30 (Wisconsin) | Secondary |
363LF0000X | Nurse Practitioner - Family | 9657-33 (Wisconsin) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lakeview Medical Ctr Home Care | Rice lake, WI | Home health agency |
Lakeview Medical Center Of Rice Lake | Rice lake, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lakeview Medical Center Inc Of Rice Lake | 6103737820 | 127 |
Entity Name | Marshfield Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Entity Name | Mchs Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
Entity Name | Lakeview Medical Center Inc Of Rice Lake |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
Mailing Address | Practice Location Address |
---|---|
Kayla Lynn Jenness, 1000 N Oak Ave, Marshfield, WI 54449-5703 Ph: () - | Kayla Lynn Jenness, 1700 W Stout St, Rice Lake, WI 54868-5000 Ph: (715) 236-8100 |
Kelly J Olson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Danielle Ranee Soltis, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-234-1515 | |
Carol Matthys, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2021 Cenex Dr, Suite J, Rice Lake, WI 54868 Phone: 715-234-7246 | |
Sandra J. Polzin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1215 W Knapp St, Rice Lake, WI 54868 Phone: 715-236-4450 | |
Amaris Vesely, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-234-1515 | |
Ashley Johnson, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 | |
Melissa M. Tomesh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1700 W Stout St, Rice Lake, WI 54868 Phone: 715-236-8100 |