Mrs Jenell Lynn Valenzuela, APNP is a medicare enrolled "Nurse Practitioner - Family" in Johnson Creek, Wisconsin. Her current practice location is
480 Village Walk Ln, Johnson Creek, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 542-3010.
Mrs Jenell Lynn Valenzuela is licensed to practice in Wisconsin (license number 13790-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1457798340.
Provider's Profile
Full Name | Mrs Jenell Lynn Valenzuela |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 480 Village Walk Ln, Johnson Creek, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1457798340
- Provider Enumeration Date: 05/31/2013
- Last Update Date: 01/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274987011
- Enrollment ID: I20230927001552
Medical Identifiers
Medical identifiers for Mrs Jenell Lynn Valenzuela such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457798340 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 13790-33 (Wisconsin) | Primary |
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. Mrs Jenell Lynn Valenzuela allows following entities to bill medicare on her behalf.
Entity Name | Three Oaks Health Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760931026 PECOS PAC ID: 4486935624 Enrollment ID: O20170103000410 |
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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. Mrs Jenell Lynn Valenzuela 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 |
Mrs Jenell Lynn Valenzuela, APNP 480 Village Walk Ln, Johnson Creek, WI 53038-9462 Ph: (920) 542-3010 | Mrs Jenell Lynn Valenzuela, APNP 480 Village Walk Ln, Johnson Creek, WI 53038-9462 Ph: (920) 542-3010 |
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