Provider / Organization | NPI | Date Certified |
---|---|---|
JESSICA KRUPINSKI | 1104415835 | 2023-07-13 |
Jessica Krupinski is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104415835. Registration indicates Jessica Krupinski is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
Entity Type | Individual |
Provider Name | Jessica Krupinski PA |
Practice Office Address | 215 WASHINGTON ST GRAFTON, WI US |
Practice Office Telephone | 2623753700 |
Mailing Address | PO BOX 735044 CHICAGO, IL 606735044 US |
FHIR URL [] | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | |
Direct Messaging Address [CDA/CCD/TXT] | [email protected] | Direct |
Direct Messaging Address [] | [email protected] | Direct |
Code | Practice | License No State |
---|---|---|
363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 5387-23
WI |
100185207 | MEDICAID | WI | |
1104415835 | MEDICAID | WI |