Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MS. JENNIFER JO SUMMERS RN
NPI 1104634310
Nurse Practitioner - Family in Friendship, WI

Q: What is Jennifer Summers's NPI number?

The NPI number for Jennifer Summers is 1104634310. It was assigned to this individual provider in the NPPES registry on December 19, 2024.

Q: What is Jennifer Summers'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 Jennifer Summers was last updated on November 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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 December 19, 2024PECOS Enrolled

402 W LAKE ST, FRIENDSHIP, WI 53934(608) 339-3331 Get Directions Write a Review

NPPES record last updated: November 2, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 2, 2026, Dec 19, 2024 (2 updates tracked since 2024).

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About Ms. Jennifer Jo Summers Rn NPPES

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

MS. JENNIFER JO SUMMERS RN (NPI 1104634310) is an individual family provider in Friendship, Wisconsin, licensed in Wisconsin (18327) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104634310

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. JENNIFER JO SUMMERSCredential: RN

Location Address402 W LAKE STFriendship, WI 53934-9699

Mailing Address1836 South AveLa Crosse, WI 54601-5494 · (608) 782-7300

Phone(608) 339-3331

Sole ProprietorNo

Enumeration DateDecember 19, 2024

Last NPPES UpdateNovember 2, 20262 updates tracked since enumeration

NPPES CertifiedNovember 2, 2026

✔ NPI 1104634310 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 · 18327

402 W LAKE ST, Friendship, WI 53934

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jennifer Jo Summers Rn 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53934 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 20

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

ROBERT E DOCHERTY RN

Nurse Practitioner (Family)