MS. MOLLIE ANN JESBERGER APNP
NPI 1457075103
Nurse Practitioner - Primary Care in Janesville, WI

Active since September 27, 2022PECOS EnrolledAccepts Medicare Assignment
1015 W BURBANK AVE, JANESVILLE, WI 53546(608) 713-0472(608) 999-2217 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 12, 2023, Sep 27, 2022 (2 updates tracked since 2022).

About Ms. Mollie Ann Jesberger Apnp NPPES

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

MS. MOLLIE ANN JESBERGER APNP (NPI 1457075103) is an individual primary care provider in Janesville, Wisconsin, licensed in Wisconsin (13176) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Stoughton Hospital, and maintains a secondary practice location in Stoughton.

NPPES Registry Identity

NPI1457075103
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMS. MOLLIE ANN JESBERGERCredential: APNP
Location Address1015 W BURBANK AVEJanesville, WI 53546-6154
Mailing Address2101 Korgen DrStoughton, WI 53589-5613 · (608) 513-0609
Fax(608) 999-2217
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 27, 2022
Last NPPES UpdateMay 12, 20232 updates tracked since enumeration
NPPES CertifiedMay 12, 2023
✔ NPI 1457075103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in WI · 13176
1015 W BURBANK AVE, Janesville, WI 53546

Secondary Practice Location 1

Location 12101 Korgen DrStoughton, WI 53589-5613 · Phone (608) 513-0609

Accepted 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

Ms. Mollie Ann Jesberger 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 ID1951834969
PECOS Enrollment IDI20241030000083
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 Mollie Jesberger reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
1969 W HART RD
Beloit, WI 53511
  • Reassigned Medicare billing, Wisconsin enrollment
  • 110 clinicians in this Medicare group
Family Medicine
831 ARTHUR DR
Milton, WI 53563
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1083310908 (Wisconsin)
  • 83 clinicians in this Medicare group
Psychiatric Unit
900 RIDGE ST
Stoughton, WI 53589
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1679558647 (Wisconsin)
  • 86 clinicians in this Medicare group
Emergency Medicine
611 SHERMAN AVE E
Fort Atkinson, WI 53538
  • Reassigned Medicare billing, Wisconsin enrollment
  • 67 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare

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

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53546 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 2

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

Clinic/Center (Family Planning, Non-Surgical)
1015 W BURBANK AVE
JANESVILLE, WI 53546
Physician Assistant
1015 W BURBANK AVE
JANESVILLE, WI 53546

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 Mollie Jesberger's NPI number?

The NPI number for Mollie Jesberger is 1457075103. It was assigned to this individual provider in the NPPES registry on September 27, 2022.

Where is Mollie Jesberger located?

Mollie Jesberger practices at 1015 W Burbank Ave, Janesville, WI 53546. The listed phone number is (608) 713-0472.

What is Mollie Jesberger's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mollie Jesberger enrolled in Medicare?

Yes. Mollie Jesberger 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 Mollie Jesberger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mollie Jesberger reassigns Medicare benefits to 4 organizations: Southern Wisconsin Emergency Associates Sc (Beloit, WI), Edgerton Hospital And Health Services, Inc. (Milton, WI), Stoughton Hospital Association (Stoughton, WI) and Swea Fort Sc (Fort Atkinson, 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 Mollie Jesberger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mollie Jesberger accept?

Health plans from Anthem Blue Cross and Blue Shield list Mollie Jesberger 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 Mollie Jesberger affiliated with any hospitals?

According to CMS data, Mollie Jesberger is affiliated with Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Mollie Jesberger was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.