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Active NPI 1295104305 Individual Practitioner Male Practitioner

Jake E Kendall , APNP

Nurse Practitioner - Family • Appleton, WI

Professional Overview & Biography Verified Profile Summary

Jake Kendall, APNP is a registered healthcare professional specializing in Nurse Practitioner - Family in Appleton, WI. Practice services are available at 2500 E CAPITOL DR under active NPI credentials.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2500 E Capitol Dr

Appleton, WI 549118735

Telephone 9208306788
Fax 9999999999
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Appleton, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.2 Yrs
State Avg: 8.9 Yrs
Regional Practice Density
148 Specialists

Practicing in Appleton, WI (2833 Statewide)

Telehealth Adoption Rate
7.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
91.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity
123 118 $1591.00 $135.68
99284 Emergency department visit with moderate level of medical decision making
74 70 $1067.00 $93.86
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
71 66 $63.00 $6.40
99291 Critical care, first 30-74 minutes
39 39 $1729.00 $165.57

Medical Specialties & State Licenses

Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License WI 7899

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License TN 19857

Definition to come...

Secondary Practice Locations

7575 Cockrill Bend Blvd

Nashville, TN 372091056

Phone: 6153502700

W3208 Van Roy Rd

Appleton, WI 549154086

Phone: 8664558111

1000 W Northland Ave

Appleton, WI 549141419

Phone: 8664558111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Barbara Caldwell , APRN

Nurse Practitioner - Women's Health

NPI 1003898032

Advanced Practice Registered Nurse

NPI 1013881135
Cheryl Moses , LCSW-C

Counselor - Mental Health

NPI 1023449840

Licensed Clinical Social Worker - Certified

Dr. Lorenzo Hughes , MD

Pain Medicine - Interventional Pain Medicine

NPI 1033230404

Doctor of Medicine (M.D.)

Dr. Jayme Ahmed , MD

Psychiatry & Neurology - Psychiatry

NPI 1043659436

Doctor of Medicine (M.D.)

NPI 1063066611

MASTERSBCBA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2018

Nurse Practitioner (License #19857 in TN)

NPI Profile Active August 16, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2017

Registered at 2500 E CAPITOL DR, APPLETON, WI 549118735 (Tel: 9208306788)

📍
Updated Business Mailing Address August 16, 2017

Registered at 122 E COLLEGE AVE, APPLETON, WI 549115794 (Tel: (920) 996-3264)

👤
Provider Name / Credentials Updated August 16, 2017

Recorded as JAKE KENDALL, APNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2017

Nurse Practitioner (License #7899 in WI)

NPI Profile Active September 18, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location September 18, 2015

Registered at 7575 COCKRILL BEND BLVD, NASHVILLE, TN 372091056 (Tel: 6153502700)

📍
Updated Business Mailing Address September 18, 2015

Registered at 7575 COCKRILL BEND BLVD, NASHVILLE, TN 372091056

👤
Provider Name / Credentials Updated September 18, 2015

Recorded as JAKE KENDALL, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2015

Nurse Practitioner (License #19857 in TN)

🟢
Initial NPI Registration & Enumeration September 18, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295104305
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 18, 2015
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

122 E College Ave

Appleton, WI 549115794

Phone: 9209963264

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.