JENNIFER L MCDOLE ACNP
NPI 1417267758
Nurse Practitioner in Two Rivers, WI

Q: What is Jennifer Mcdole's NPI number?

The NPI number for Jennifer Mcdole is 1417267758. It was assigned to this individual provider in the NPPES registry on October 20, 2010.

Q: What is Jennifer Mcdole's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Mcdole was last updated on November 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 October 20, 2010PECOS EnrolledAccepts Medicare Assignment

5300 MEMORIAL DR, TWO RIVERS, WI 54241(320) 793-7300 Get Directions Write a Review

NPPES record last updated: November 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2024, Nov 23, 2021, May 22, 2019 (3 updates tracked since 2019).

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About Jennifer L Mcdole Acnp NPPES

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

JENNIFER L MCDOLE ACNP (NPI 1417267758) is an individual nurse practitioner in Two Rivers, Wisconsin, licensed in Wisconsin (4226) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1417267758

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJENNIFER L MCDOLECredential: ACNP

Location Address5300 MEMORIAL DRTwo Rivers, WI 54241-3923

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(320) 793-7300

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateOctober 20, 2010

Last NPPES UpdateNovember 17, 20243 updates tracked since enumeration

NPPES CertifiedNovember 17, 2024

✔ NPI 1417267758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 4226

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.

5300 MEMORIAL DR, Two Rivers, WI 54241

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Other Identifiers 1

Medicaid100012278WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Jennifer L Mcdole Acnp 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 ID4789865197

PECOS Enrollment IDI20110217000832

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.

Hospital Affiliations CMS Care Compare

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

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520035

Location3400 Union AveSheboygan, WI 53081 · Sheboygan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54241 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier26 claims26 services$105.99 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier22 claims22 services$34.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOANNA SMOGOLESKI

Nurse Practitioner