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KRISTEN L JONESS
NPI 1811878200
Nurse Practitioner - Acute Care in Waupaca, WI

Active since September 11, 2025PECOS EnrolledAccepts Medicare Assignment
800 RIVERSIDE DR, WAUPACA, WI 54981(715) 256-3000(715) 256-3028 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 31, 2025, Sep 11, 2025 (2 updates tracked since 2025).

About Kristen L Joness NPPES

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

KRISTEN L JONESS (NPI 1811878200) is an individual acute care provider in Waupaca, Wisconsin, licensed in Wisconsin (17324) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with Thedacare Medical Center-waupaca, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1811878200
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKRISTEN L JONESS
Location Address800 RIVERSIDE DRWaupaca, WI 54981-1943
Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 830-5900 · Fax (920) 830-5910
Phone(715) 256-3000
Fax(715) 256-3028
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 11, 2025
Last NPPES UpdateDecember 31, 20252 updates tracked since enumeration
NPPES CertifiedDecember 31, 2025
✔ NPI 1811878200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in WI · 17324
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 17324 (WI)
800 RIVERSIDE DR, Waupaca, WI 54981
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Kristen L Joness 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 ID9234615337
PECOS Enrollment IDI20260108001883
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 Reassignment

Medicare enrollment records show Kristen Joness reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thedacare, Incorporated
17 mi
Family Medicine
1405 MILL ST
New London, WI 54961
  • Reassigned Medicare billing, Wisconsin enrollment
  • 988 clinicians in this Medicare group
NPI 1376656959 (920) 830-5900

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.

Thedacare Medical Center-Waupaca

Critical Access Hospitals · Waupaca, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521334
Location800 Riverside DriveWaupaca, WI 54981 · Waupaca County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54981 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 20

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

THEDACARE MEDICAL CENTER - WAUPACA, INC.
General Acute Care Hospital (Critical Access)
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000
MR. BRUCE ALLEN PIERSON PT
Physical Therapist
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1053
AMANDA DEBAUCHE OTR
Occupational Therapist
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1053
AARON D. REINEKING PA
Physician Assistant
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1300
THEDACARE MEDICAL CENTER - WAUPACA, INC.
General Acute Care Hospital (Critical Access)
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000
CHARLES D WASHINGTON M.D.
Emergency Medicine
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000
JASON BONFIGLIO PA
Physician Assistant
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000
MR. DEOGRACIAS R ESTRADA M.D.
Hospitalist
800 RIVERSIDE DR
WAUPACA, WI 54981
Waupaca County (715) 258-1000

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 Kristen Joness's NPI number?

The NPI number for Kristen Joness is 1811878200. It was assigned to this individual provider in the NPPES registry on September 11, 2025.

Where is Kristen Joness located?

Kristen Joness practices at 800 Riverside Dr, Waupaca, WI 54981. The listed phone number is (715) 256-3000.

What is Kristen Joness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kristen Joness enrolled in Medicare?

Yes. Kristen Joness 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 organization bills Medicare for Kristen Joness's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kristen Joness reassigns Medicare benefits to Thedacare, Incorporated (New London, WI). The 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 Kristen Joness's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kristen Joness accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kristen Joness 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 Kristen Joness affiliated with any hospitals?

According to CMS data, Kristen Joness is affiliated with Thedacare Medical Center-Waupaca.

When was this NPI record last updated?

The NPPES record for Kristen Joness was last updated on December 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.