Mrs Jerrica Brianne Vaughan, CPNP-PC - Pediatrics in New Berlin, WI

Mrs Jerrica Brianne Vaughan, CPNP-PC is a Pediatrics - Developmental - Behavioral Pediatrics physician based in New Berlin, Wisconsin. Mrs Jerrica Brianne Vaughan is licensed to practice in Wisconsin (license number 20227463) and her current practice location is 4855 S Moorland Rd Ste 250, New Berlin, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (262) 789-6020.

NPI number for Mrs Jerrica Brianne Vaughan is 1245768662 and her current mailing address is 9000 W Wisconsin Ave # Ms 958, Milwaukee, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245768662.

Contact Information

Mrs Jerrica Brianne Vaughan, CPNP-PC
4855 S Moorland Rd Ste 250,
New Berlin, WI 53151-7494
(262) 789-6020
(262) 789-6025



Physician's Profile

Full NameMrs Jerrica Brianne Vaughan
GenderFemale
SpecialityPediatrics - Developmental - Behavioral Pediatrics
Location4855 S Moorland Rd Ste 250, New Berlin, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245768662
  • Provider Enumeration Date: 05/30/2017
  • Last Update Date: 07/10/2023

Medical Identifiers

Medical identifiers for Mrs Jerrica Brianne Vaughan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245768662NPI-NPPES
1245768662MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0006XPediatrics - Developmental - Behavioral Pediatrics 20227463 (Wisconsin)Primary
163W00000XRegistered Nurse 226174 (Wisconsin)Secondary
363LP0200XNurse Practitioner - Pediatrics 7420 (Wisconsin)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jerrica Brianne Vaughan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jerrica Brianne Vaughan, CPNP-PC
9000 W Wisconsin Ave # Ms 958,
Milwaukee, WI 53226-4874

Ph: (414) 266-7615
Mrs Jerrica Brianne Vaughan, CPNP-PC
4855 S Moorland Rd Ste 250,
New Berlin, WI 53151-7494

Ph: (262) 789-6020

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› Verified 2 days ago


Pediatrics Doctors in New Berlin, WI

Dr. Carl J Peluso, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4855 S Moorland Rd Fl 3, New Berlin, WI 53151
Phone: 262-432-7599    Fax: 262-432-7694
Benjamin Landgraf,
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4855 S Moorland Rd Ste 250, New Berlin, WI 53151
Phone: 262-789-6020    Fax: 262-789-6025
Sadia T Ansari, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4855 S Moorland Rd, New Berlin, WI 53151
Phone: 262-432-7599    Fax: 262-432-7694
Dr. Olubunmi Abiola Olorundami, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4855 S Moorland Rd, Urgent Care Clinic - 3rd Floor, New Berlin, WI 53151
Phone: 262-432-7599    Fax: 262-432-7694
Michael Gutzeit, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4855 S Moorland Rd Ste 250, New Berlin, WI 53151
Phone: 262-789-6020    Fax: 262-789-6025
Chris M Zukowski, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4855 S Moorland Rd, Suite 150, New Berlin, WI 53151
Phone: 414-425-5660    Fax: 414-425-9803
Alina Huang, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 4855 S Moorland Rd, New Berlin, WI 53151
Phone: 262-432-7599    Fax: 262-432-7694

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