JENNA RUTH HAEBERLE APRN, CNM
NPI 1033577762
Advanced Practice Midwife in Milwaukee, WI

Active since February 09, 2016PECOS Enrolled
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204(414) 672-1353 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 21, 2022, Sep 14, 2022, Jul 6, 2022 and 1 more (4 updates tracked since 2016).

About Jenna Ruth Haeberle Aprn, Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNA RUTH HAEBERLE APRN, CNM (NPI 1033577762) is an individual advanced practice midwife in Milwaukee, Wisconsin, licensed in Illinois (209.013259) and active in the NPI registry since February 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Lake Forest.

NPPES Registry Identity

NPI1033577762
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameJENNA RUTH HAEBERLECredential: APRN, CNM
Location Address1032 S CESAR E CHAVEZ DRMilwaukee, WI 53204-2203
Mailing AddressPo Box 778789Chicago, IL 60677-8789 · (414) 672-1353
Sole ProprietorYes
Enumeration DateFebruary 9, 2016
Last NPPES UpdateJune 26, 20234 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
✔ NPI 1033577762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
Licenses✔ Licensed in IL · 209.013259✔ Licensed in WI · 149030-32
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
1032 S CESAR E CHAVEZ DR, Milwaukee, WI 53204

Other Names 1

Former Name (1)Jenna Ruth Petersdorf

Secondary Practice Location 1

Location 1900 N Westmoreland Rd Ste 112Lake Forest, IL 60045-1674 · Phone (224) 241-4238 · Fax (847) 615-2260

Other Identifiers 1

Medicaid100204747WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Ruth Haeberle Aprn, Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Jenna Haeberle reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1032 S CESAR E CHAVEZ DR
Milwaukee, WI 53204
  • Reassigned Medicare billing, Wisconsin enrollment
  • 147 clinicians in this Medicare group
Multi-Specialty
2350 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Columbia St Marys Hospital Milwaukee Inc
  • 856 clinicians in this Medicare group
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
Internal Medicine
172 E SCHILLER ST
Elmhurst, IL 60126
  • Reassigned Medicare billing, Illinois enrollment
  • 240 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
Counselor (Mental Health)
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
Pediatrics
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
Dietitian, Registered
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
Pediatrics
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
Nurse Practitioner (Family)
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
Nurse Practitioner (Psychiatric/Mental Health)
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204
Dental Hygienist
1032 S CESAR E CHAVEZ DR
MILWAUKEE, WI 53204

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jenna Haeberle's NPI number?

The NPI number for Jenna Haeberle is 1033577762. It was assigned to this individual provider in the NPPES registry on February 9, 2016. The provider is also known as Jenna Ruth Petersdorf.

Where is Jenna Haeberle located?

Jenna Haeberle practices at 1032 S Cesar E Chavez Dr, Milwaukee, WI 53204. The listed phone number is (414) 672-1353.

What is Jenna Haeberle's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Jenna Haeberle enrolled in Medicare?

Yes. Jenna Haeberle is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jenna Haeberle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Haeberle reassigns Medicare benefits to 4 organizations: 16th Street Community Health Center Inc. (Milwaukee, WI), Columbia St. Mary's Hospital Milwaukee, Inc (Milwaukee, WI), Northwestern Medical Faculty Foundation (Carol Stream, IL) and Elmhurst Memorial Healthcare (Elmhurst, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenna Haeberle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jenna Haeberle accept?

Health plans from HealthPartners list Jenna Haeberle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jenna Haeberle was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.