| Jacqueline J Nelson, CRNA | |
|
8901 W Lincoln Ave, West Allis, WI 53227-2409 | |
| (414) 328-7200 | |
| Not Available |
| Full Name | Jacqueline J Nelson |
|---|---|
| Gender | Female |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 20 Years |
| Location | 8901 W Lincoln Ave, West Allis, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326029356 | NPI | - | NPPES |
| 44369200 | Medicaid | WI | |
| 0469619 | Medicaid | IA | |
| 39204 | Other | IA | WELLMARK BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | D100610 (Iowa) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 3328 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3491 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline J Nelson, CRNA Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Jacqueline J Nelson, CRNA 8901 W Lincoln Ave, West Allis, WI 53227-2409 Ph: (414) 328-7200 |
Thomas J Kavanaugh, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 8901 W. Lincoln Ave, Aurora West Allis Medical Center, West Allis, WI 53227 Phone: 414-328-6000 Fax: 414-328-8536 | |
Jessica Lynn Lewis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7200 | |
Michelle Ann Depa, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-7200 Fax: 414-328-8158 | |
Emily M Nieman, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 | |
Shelly Schneider Parker, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-328-6000 | |
Tara L Alauf, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8901 W Lincoln Ave, West Allis, WI 53227 Phone: 414-283-6000 Fax: 414-649-1328 |