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JESSICA SWEENEY APNP
NPI 1336723675
Nurse Practitioner in Waterford, WI

Active since May 12, 2021PECOS EnrolledAccepts Medicare Assignment
818 FORREST LN, WATERFORD, WI 53185(262) 514-8199 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2025, Sep 29, 2021, May 12, 2021 (3 updates tracked since 2021).

About Jessica Sweeney Apnp NPPES

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

JESSICA SWEENEY APNP (NPI 1336723675) is an individual nurse practitioner in Waterford, Wisconsin, licensed in Wisconsin (10580) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and maintains a secondary practice location in Oconomowoc.

NPPES Registry Identity

NPI1336723675
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJESSICA SWEENEYCredential: APNP
Location Address818 FORREST LNWaterford, WI 53185-4585
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 514-8199
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 12, 2021
Last NPPES UpdateNovember 12, 20253 updates tracked since enumeration
NPPES CertifiedNovember 12, 2025
✔ NPI 1336723675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 10580
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 10580 (WI)
818 FORREST LN, Waterford, WI 53185
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Secondary Practice Location 1

Location 11185 Corporate Center DriveOconomowoc, WI 53066 · Phone (262) 948-8400

Other Identifiers 1

Medicaid100171024WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Dean Health Plan, Network Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Sweeney 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 ID2668873860
PECOS Enrollment IDI20210625000257
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 Jessica Sweeney reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prohealth Medical Group Inc
11 mi
Internal Medicine
S69W15636 JANESVILLE RD
Muskego, WI 53150
  • Reassigned Medicare billing, Wisconsin enrollment
  • 528 clinicians in this Medicare group
NPI 1114068970 (262) 928-7000
Aurora Medical Group, Inc.
18 mi
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 515
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1457592735 (414) 328-8650
Lakeshore Medical Clinic Ltd
20 mi
Family Medicine
1100 MILWAUKEE AVE
South Milwaukee, WI 53172
  • Reassigned Medicare billing, Wisconsin enrollment
  • 960 clinicians in this Medicare group
NPI 1174851893 (414) 764-4003
Aurora Advanced Healthcare, Inc.
29 mi
Family Medicine
3003 W GOOD HOPE RD
Milwaukee, WI 53209
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,615 clinicians in this Medicare group
NPI 1265629133 (414) 352-3100

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

Areas of Expertise CMS Part B claims 5

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.

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.
202 services160 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.
103 services93 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
78 services78 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
13 services13 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Waukesha Memorial Hospital

Acute Care Hospitals · Waukesha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520008
Location725 American AveWaukesha, WI 53188 · Waukesha County
Emergency services Birthing friendly

Oconomowoc Memorial Hospital

Acute Care Hospitals · Oconomowoc, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520062
Location791 E Summit AveOconomowoc, WI 53066 · Waukesha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53185 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 6

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

NICOLE SCHWARTZ
Nurse Practitioner
818 FORREST LN
WATERFORD, WI 53185
Racine County (262) 514-8199
MS. KIM T DUCZAK APNP
Nurse Practitioner
818 FORREST LN
WATERFORD, WI 53185
Racine County (262) 514-3700
DR. CHRISTINE M DIGNAN MD
Pediatrics
818 FORREST LN
WATERFORD, WI 53185
Racine County (262) 514-3700
DR. JENNIFER JAYNE DECKER MD
Family Medicine
818 FORREST LN
WATERFORD, WI 53185
Racine County (262) 514-3700
CRYSTAL LAURA VOIGT FNP-BC
Nurse Practitioner
818 FORREST LN
WATERFORD, WI 53185
Racine County (262) 514-8199
JENNIFER SCHWARZ NP
Nurse Practitioner
818 FORREST LN
WATERFORD, WI 53185
Racine County (262) 514-3700

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 Jessica Sweeney's NPI number?

The NPI number for Jessica Sweeney is 1336723675. It was assigned to this individual provider in the NPPES registry on May 12, 2021.

Where is Jessica Sweeney located?

Jessica Sweeney practices at 818 Forrest Ln, Waterford, WI 53185. The listed phone number is (262) 514-8199.

What is Jessica Sweeney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jessica Sweeney enrolled in Medicare?

Yes. Jessica Sweeney 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.

Which organizations bill Medicare for Jessica Sweeney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Sweeney reassigns Medicare benefits to 4 organizations: Prohealth Medical Group Inc (Muskego, WI), Aurora Medical Group, Inc. (West Allis, WI), Lakeshore Medical Clinic Ltd (South Milwaukee, WI) and Aurora Advanced Healthcare, Inc. (Milwaukee, WI). 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 Jessica Sweeney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Sweeney accept?

Health plans from CareSource (Common Ground Healthcare), Dean Health Plan, Network Health and UnitedHealthcare list Jessica Sweeney 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.

Is Jessica Sweeney affiliated with any hospitals?

According to CMS data, Jessica Sweeney is affiliated with Waukesha Memorial Hospital and Oconomowoc Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jessica Sweeney was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.