| Jennifer Lea Baumgart, APNP | |
|
305 E 12th St, Kaukauna, WI 54130 | |
| (920) 766-4656 | |
| (920) 766-4659 |
| Full Name | Jennifer Lea Baumgart |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 17 Years |
| Location | 305 E 12th St, Kaukauna, 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 |
|---|---|---|---|
| 1386978260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 3891-033 (Wisconsin) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Thedacare Regional Med Ctr - Neenah | Neenah, WI | Hospital |
| Thedacare Regional Medical Center - Appleton Inc | Appleton, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kaukauna Clinic, S.c. | 5597765891 | 7 |
| Entity Name | Kaukauna Clinic, S.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457317273 PECOS PAC ID: 5597765891 Enrollment ID: O20070111000068 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Lea Baumgart, APNP 305 E 12th St, Kaukauna, WI 54130-2865 Ph: (920) 766-4656 | Jennifer Lea Baumgart, APNP 305 E 12th St, Kaukauna, WI 54130 Ph: (920) 766-4656 |
Ms. Lori Deprez King, RN, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 305 E 12th St, Kaukauna, WI 54130 Phone: 920-766-4656 Fax: 920-766-4659 | |
Jamie Leigh Dewitt, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2601 Fieldcrest Dr, Kaukauna, WI 54130 Phone: 920-426-6100 Fax: 920-426-6109 |