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Active NPI 1104512052 Individual Practitioner Female Practitioner

Gina Louise Jetzer , LPN

Licensed Practical Nurse • Sheboygan, WI

Professional Overview & Biography Verified Profile Summary

Gina Jetzer, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Sheboygan, WI. Practice services are available at 2405 COOPER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2405 Cooper Ave

Sheboygan, WI 530834202

Telephone 9209462607

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Sheboygan, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
40 Specialists

Practicing in Sheboygan, WI (1775 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-04-13
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License WI 310358-031

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active April 13, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2023

Registered at 2405 COOPER AVE, SHEBOYGAN, WI 530834202 (Tel: 9209462607)

📍
Updated Business Mailing Address April 13, 2023

Registered at 2405 COOPER AVE, SHEBOYGAN, WI 530834470 (Tel: 9209462607)

👤
Provider Name / Credentials Updated April 13, 2023

Recorded as GINA JETZER, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2023

Licensed Practical Nurse (License #310358-031 in WI)

🟢
Initial NPI Registration & Enumeration April 13, 2023

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: 1104512052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 13, 2023
Last Update: April 13, 2023
Sole Proprietor: No
Update or Correct Profile

Mailing Address

2405 Cooper Ave

Sheboygan, WI 530834470

Phone: 9209462607

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.