Jacklyn M Spates, APNP - Medicare Nurse Practitioner in Appleton, WI

Jacklyn M Spates, APNP is a medicare enrolled "Nurse Practitioner - Family" in Appleton, Wisconsin. Her current practice location is 820 E Grant St, Suite 230, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 738-7300.

Jacklyn M Spates is licensed to practice in Wisconsin (license number 4125) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487969572.

Contact Information

Jacklyn M Spates, APNP
820 E Grant St, Suite 230,
Appleton, WI 54911-3483
(920) 738-7300
(920) 738-7301



Provider's Profile

Full NameJacklyn M Spates
GenderFemale
SpecialityNurse Practitioner - Family
Location820 E Grant St, Appleton, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1487969572
  • Provider Enumeration Date: 08/12/2010
  • Last Update Date: 05/23/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1456544980
  • Enrollment ID: I20160606002070

Medical Identifiers

Medical identifiers for Jacklyn M Spates such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487969572NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4125 (Wisconsin)Primary

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. Jacklyn M Spates is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacklyn M Spates, APNP
2500 Overlook Ter, Suite 230,
Madison, WI 53705-2254

Ph: (608) 256-1901
Jacklyn M Spates, APNP
820 E Grant St, Suite 230,
Appleton, WI 54911-3483

Ph: (920) 738-7300

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› Verified 1 days ago


Nurse Practitioner Nurses in Appleton, WI

Ann M Hefter, AGACNP-BC, MSN, BSN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-8900    
Dessia J Laxton-reinke, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-8900    Fax: 920-738-5369
Katie Geiser, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5045 W Grande Market Dr, Appleton, WI 54913
Phone: 920-886-9380    
Lisa Valiquette, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2500 E Capitol Dr, Appleton, WI 54911
Phone: 920-738-4600    Fax: 920-738-4792
Kimberly A Romenesko, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-735-7645    Fax: 920-735-7618
Steven R Hamel, APN FP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    
Ms. Zoua Yang, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-4101    

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