JESSICA SHUMOW APNP
NPI 1063230860
Nurse Practitioner - Family in Oconomowoc, WI

Q: What is Jessica Shumow's NPI number?

The NPI number for Jessica Shumow is 1063230860. It was assigned to this individual provider in the NPPES registry on September 30, 2024.

Q: What is Jessica Shumow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Shumow was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.

Active since September 30, 2024PECOS Enrolled

34700 VALLEY RD, OCONOMOWOC, WI 53066(262) 646-4411 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 9, 2024, Sep 30, 2024 (2 updates tracked since 2024).

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About Jessica Shumow Apnp NPPES

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

JESSICA SHUMOW APNP (NPI 1063230860) is an individual family provider in Oconomowoc, Wisconsin, licensed in Wisconsin (15909-30) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063230860

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSICA SHUMOWCredential: APNP

Location Address34700 VALLEY RDOconomowoc, WI 53066-4500

Mailing Address34700 Valley RdOconomowoc, WI 53066-4599 · (262) 646-4411

Phone(262) 646-4411

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 30, 2024

Last NPPES UpdateOctober 9, 20242 updates tracked since enumeration

NPPES CertifiedOctober 9, 2024

✔ NPI 1063230860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 15909-30

34700 VALLEY RD, Oconomowoc, WI 53066

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessica Shumow Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID345779518

PECOS Enrollment IDI20250203001153

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53066 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

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

JODI TOMPITCH APNP

Clinical Nurse Specialist (Psychiatric/Mental Health)