JENNIFER DIANE JOHNSON FNP NPI 1043615560

NPI Information

  • NPI: 1043615560
  • Provider Name: JENNIFER DIANE JOHNSON, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 725 AMERICAN AVENUE
    WAUKESHA, WI
    ZIP 53188
  • Phone: (212) 928-8800

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NPI Details

Jennifer Diane Johnson, FNP is a family nurse practitioner in Waukesha, WI with 12 years of experience. Jennifer Diane Johnson, FNP NPI is 1043615560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

725 AMERICAN AVENUE
WAUKESHA, WI
ZIP 53188
Phone: (212) 928-8800
Fax: (262) 928-0648

The NPI 1043615560 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system (HCPCS:93288)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system (HCPCS:93289)
  • Evaluation of cardiac rhythm monitor system (HCPCS:93291)

The enumeration date for this NPI number is 10/27/2014 and was last updated on 12/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse Practitioner6088-33WISCONSINNo
2163W00000XRegistered Nurse171464-30WISCONSINNo
3363LF0000XNurse PractitionerFamily6088-33WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100041913MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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