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

Q: 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.

Q: What is Jolie Cetnarowski's specialty?

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

Q: 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 3 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 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: August 02, 2026.

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

On this page

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

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina 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 (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.

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)