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MRS. JERRICA BRIANNE VAUGHAN CPNP-PC
NPI 1245768662
Pediatrics - Developmental - Behavioral Pediatrics in New Berlin, WI

Active since May 30, 2017
4855 S MOORLAND RD STE 250, NEW BERLIN, WI 53151(262) 789-6020(262) 789-6025 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2023, Oct 30, 2018, Sep 12, 2018 and 1 more (4 updates tracked since 2017).

About Mrs. Jerrica Brianne Vaughan Cpnp-pc NPPES

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

MRS. JERRICA BRIANNE VAUGHAN CPNP-PC (NPI 1245768662) is an individual developmental - behavioral pediatrics provider in New Berlin, Wisconsin, licensed in Wisconsin (20227463) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1245768662
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameMRS. JERRICA BRIANNE VAUGHANCredential: CPNP-PC
Location Address4855 S MOORLAND RD STE 250New Berlin, WI 53151-7494
Mailing Address9000 W Wisconsin Ave # Ms 958Milwaukee, WI 53226-4874 · (414) 266-7615 · Fax (414) 266-6238
Phone(262) 789-6020
Fax(262) 789-6025
Sole ProprietorNo
Enumeration DateMay 30, 2017
Last NPPES UpdateJuly 10, 20234 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
✔ NPI 1245768662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in WI · 20227463
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedRegistered NurseTaxonomy 163W00000X · License 226174 (WI)
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 7420 (WI)
4855 S MOORLAND RD STE 250, New Berlin, WI 53151
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Other Identifiers 1

Medicaid1245768662WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Other Providers at the Same Location NPPES 15

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

MICHAEL GUTZEIT M.D.
Pediatrics
4855 S MOORLAND RD STE 250
NEW BERLIN, WI 53151
Waukesha County (262) 789-6020
JAMIE LEE RADANT LPC
Counselor (Professional)
4855 S MOORLAND RD STE 250
NEW BERLIN, WI 53151
Waukesha County (262) 789-6020
CHILDREN'S MEDICAL GROUP
Pediatrics
4855 S MOORLAND RD STE 250
NEW BERLIN, WI 53151
Waukesha County (262) 789-6020
JODI O SPAHR CPNP
Nurse Practitioner (Pediatrics)
4855 S MOORLAND RD STE 250
NEW BERLIN, WI 53151
Waukesha County (262) 789-6020
AARON HANSON
Pediatrics
4855 S MOORLAND RD STE 250
NEW BERLIN, WI 53151
Waukesha County (262) 789-6020
BRADLEY JULGA
Pediatrics
4855 S MOORLAND RD STE 250
NEW BERLIN, WI 53151
Waukesha County (262) 789-6020
CHRISTOPHER J SCHWAKE M.D.
Pediatrics
4855 S MOORLAND RD STE 250
NEW BERLIN, WI 53151
Waukesha County (262) 789-6020
MRS. SHAWN JENSEN R.N., CPNP
Nurse Practitioner (Pediatrics)
4855 S MOORLAND RD STE 250
NEW BERLIN, WI 53151
Waukesha County (262) 789-6020

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 Jerrica Vaughan's NPI number?

The NPI number for Jerrica Vaughan is 1245768662. It was assigned to this individual provider in the NPPES registry on May 30, 2017.

Where is Jerrica Vaughan located?

Jerrica Vaughan practices at 4855 S Moorland Rd Ste 250, New Berlin, WI 53151. The listed phone number is (262) 789-6020.

What is Jerrica Vaughan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

What insurance does Jerrica Vaughan accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Medica and Network Health and 3 other insurers list Jerrica Vaughan 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 Jerrica Vaughan was last updated on July 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.