1. Home
  2. Directory
  3. Wisconsin
  4. Cedarburg
  5. Nurse Practitioner
  6. NPI Profile

MRS. THERESE L. JAECKLE MSN, APNP
NPI 1063696516
Nurse Practitioner - Psychiatric/Mental Health in Cedarburg, WI

Active since December 19, 2007PECOS EnrolledAccepts Medicare Assignment
W62N248 WASHINGTON AVE, CEDARBURG, WI 53012(262) 375-1116 Get Directions Write a Review

NPPES record last updated: February 4, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Therese L. Jaeckle Msn, Apnp NPPES

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

MRS. THERESE L. JAECKLE MSN, APNP (NPI 1063696516) is an individual psychiatric/mental health provider in Cedarburg, Wisconsin, licensed in Wisconsin (3319-033) and active in the NPI registry since December 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1063696516
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. THERESE L. JAECKLECredential: MSN, APNP
Location AddressW62N248 WASHINGTON AVECedarburg, WI 53012-2768
Mailing Address4670 N 143rd StBrookfield, WI 53005-1664 · (262) 781-0297
Phone(262) 375-1116
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateDecember 19, 2007
Last NPPES UpdateFebruary 4, 2009
✔ NPI 1063696516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WI · 3319-033
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3319-033 (WI)
W62N248 WASHINGTON AVE, Cedarburg, WI 53012
Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Therese Ann Lupone Msn, Apnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Therese L. Jaeckle Msn, Apnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951480011
PECOS Enrollment IDI20080501000134
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
177 services60 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
144 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53012 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.

Other Providers at the Same Location NPPES 11

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

NICOLE M SCHER-HUBING LCSW
Social Worker (Clinical)
W62N248 WASHINGTON AVE, SUITE#207
CEDARBURG, WI 53012
Ozaukee County (262) 375-1116
DONALD J. MEYER, DOSC
Family Medicine
W62N248 WASHINGTON AVE
CEDARBURG, WI 53012
Ozaukee County (262) 375-1380
DAVID DICH LPC
Counselor (Professional)
W62N248 WASHINGTON AVE, SUITE#207
CEDARBURG, WI 53012
Ozaukee County (262) 375-0879
MYLES TONNACLIFF PH.D, LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
W62N248 WASHINGTON AVE, SUITE 208
CEDARBURG, WI 53012
Ozaukee County (262) 618-2856
JOY A MYERS PH.D.
Counselor (Professional)
W62N248 WASHINGTON AVE, SUITE #207
CEDARBURG, WI 53012
Ozaukee County (262) 375-1116
DONALD J. MEYER D.O.
Family Medicine
W62N248 WASHINGTON AVE
CEDARBURG, WI 53012
Ozaukee County (262) 375-1380
HOLLY JANE GARDENIER MS, LPC, CSAC, ICS
Counselor (Professional)
W62N248 WASHINGTON AVE, SUITE 207
CEDARBURG, WI 53012
Ozaukee County (414) 545-1950
NORTHSHORE CLINIC & CONSULTANTS, INC.
Community/Behavioral Health
W62N248 WASHINGTON AVE, SUITE #207
CEDARBURG, WI 53012
Ozaukee County (262) 375-1116

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 Therese Jaeckle's NPI number?

The NPI number for Therese Jaeckle is 1063696516. It was assigned to this individual provider in the NPPES registry on December 19, 2007. The provider is also known as Ms. Therese Ann Lupone Msn, Apnp.

Where is Therese Jaeckle located?

Therese Jaeckle practices at W62n248 Washington Ave, Cedarburg, WI 53012. The listed phone number is (262) 375-1116.

What is Therese Jaeckle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Therese Jaeckle enrolled in Medicare?

Yes. Therese Jaeckle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Therese Jaeckle accept?

Health plans from Anthem Blue Cross and Blue Shield, Medica, Network Health and UnitedHealthcare list Therese Jaeckle 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 Therese Jaeckle was last updated on February 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.