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JOLIE CETNAROWSKI
NPI 1578250429
Nurse Practitioner - Family in Milwaukee, WI

Active since April 20, 2023PECOS Enrolled
11002 W PARK PL, MILWAUKEE, WI 53224(888) 999-2404 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 6, 2026, Apr 21, 2026 (2 updates tracked since 2026).

About Jolie Cetnarowski NPPES

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

JOLIE CETNAROWSKI (NPI 1578250429) is an individual family provider in Milwaukee, Wisconsin, licensed in Wisconsin (13798) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1578250429
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJOLIE CETNAROWSKI
Location Address11002 W PARK PLMilwaukee, WI 53224-3615
Mailing Address200 Oceangate Ste 100Long Beach, CA 90802-4317 · (888) 562-5442
Phone(888) 999-2404
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 20, 2023
Last NPPES UpdateMay 6, 20262 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1578250429 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
Licenses✔ Licensed in WI · 13798✔ Licensed in WA · ARNP.AP.70092417-NP✔ Licensed in IL · 209035247
11002 W PARK PL, Milwaukee, WI 53224
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jolie Cetnarowski is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779948393
PECOS Enrollment IDI20260521002723
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 Jolie Cetnarowski reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Molina Healthcare Of Washington, Inc
1,675 mi
Family Medicine
3322 BROADWAY,, SUITE 200
Everett, WA 98201
  • Reassigned Medicare billing, Washington enrollment
  • 207 clinicians in this Medicare group
NPI 1912235060 (562) 499-6191
Molina Healthcare Of California
1,713 mi
Family Medicine
44216 10TH ST W
Lancaster, CA 93534
  • Reassigned Medicare billing, California enrollment
  • 339 clinicians in this Medicare group
NPI 1508970955 (661) 723-7416
Central Health Plan Of California, Inc.
1,721 mi
Health Maintenance Organization
1540 BRIDGEGATE DR
Diamond Bar, CA 91765
  • Reassigned Medicare billing, California enrollment
  • 283 clinicians in this Medicare group
NPI 1386714772 (626) 388-2390
Molina Care Connections, LLC.
1,747 mi
Nurse Practitioner
200 OCEANGATE STE 100
Long Beach, CA 90802
  • Reassigned Medicare billing, Illinois, Michigan, South Carolina and Wisconsin enrollments
  • 74 clinicians in this Medicare group
NPI 1407243223 (888) 562-5442

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53224 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 5

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

MARY L THEISEN NP
Nurse Practitioner (Family)
11002 W PARK PL
MILWAUKEE, WI 53224
Milwaukee County (414) 365-8300
ANGELA BRAGGS LPC-IT
Counselor (Mental Health)
11002 W PARK PL
MILWAUKEE, WI 53224
Milwaukee County (414) 949-0758
MACKENNA LESLIE HILL FNP-C
Nurse Practitioner (Family)
11002 W PARK PL
MILWAUKEE, WI 53224
Milwaukee County (888) 562-5442
HORIZON HOME CARE & HOSPICE, INC.
Home Health
11002 W PARK PL
MILWAUKEE, WI 53224
Milwaukee County (414) 365-8300
ERIKA HERDER APNP
Nurse Practitioner (Family)
11002 W PARK PL
MILWAUKEE, WI 53224
Milwaukee County (414) 507-4015

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 Jolie Cetnarowski's NPI number?

The NPI number for Jolie Cetnarowski is 1578250429. It was assigned to this individual provider in the NPPES registry on April 20, 2023.

Where is Jolie Cetnarowski located?

Jolie Cetnarowski practices at 11002 W Park Pl, Milwaukee, WI 53224. The listed phone number is (888) 999-2404.

What is Jolie Cetnarowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jolie Cetnarowski enrolled in Medicare?

Yes. Jolie Cetnarowski is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jolie Cetnarowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jolie Cetnarowski reassigns Medicare benefits to 4 organizations: Molina Healthcare Of Washington, Inc (Everett, WA), Molina Healthcare Of California (Lancaster, CA), Central Health Plan Of California, Inc. (Diamond Bar, CA) and Molina Care Connections, LLC. (Long Beach, CA). 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 Jolie Cetnarowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jolie Cetnarowski was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.