Ms. Jill Koch Wanggaard is a Mount Pleasant, Wisconsin based nurse practitioner with 27 years of experience in . She completed her graduation in 1997. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ms. Jill Koch Wanggaard is 74115 in Wisconsin. Her current practice location is 8400 Washington Ave, Mount Pleasant. Patients can reach her at 262-884-4088 or can fax her at 262-884-4078. Ms. Jill Koch Wanggaard is NP and her NPI number (Unique professional ID assigned by NPPES) is 1396734034. Ms. Jill Koch Wanggaard has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Ms. Jill Koch Wanggaard speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Ms. Jill Koch Wanggaard
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
NP
Experience:
27+ years
Medical School Attended:
Other
Graduation Year:
1997
Accepts Medicare Assignment:
Yes
Practice Address:
8400 Washington Ave, Mount Pleasant, Wisconsin, 53406-3735
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8022297985
Enrollment ID:
I20110124001179
NPI Number:
1396734034
NPI Enumeration Date:
15 Oct, 2005
NPI Last Update On:
23 Nov, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ms. Jill Koch Wanggaard are as mentioned below.
License Number
Specialization
State
Status
74115
Wisconsin
Primary
74115-030
Family
Wisconsin
Secondary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Ms. Jill Koch Wanggaard is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Aurora Medical Group, Inc. (6709794258)
2867
Other Medical Identifiers:
Other legacy medical identifiers associated with Ms. Jill Koch Wanggaard such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1396734034
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ms. Jill Koch Wanggaard 3301 W Forest Home Ave, Milwaukee, Wisconsin
Zip:
53215-2843
Phone Number:
262-884-4088
Fax Number:
262-884-4078
Patients can reach Ms. Jill Koch Wanggaard at 8400 Washington Ave, Mount Pleasant, Wisconsin or can call to book an appointment on 262-884-4088.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.