MRS. THERESE L. JAECKLE (MSN, APNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063696516
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for MRS. THERESE L. JAECKLE (MSN, APNP)
W62N248 WASHINGTON AVE
CEDARBURG, WI 530122768
Phone: (262) 375-1116
Type: Location
4670, North 143rd Street, Brookfield, Waukesha County, Wisconsin, 53005, United States
BROOKFIELD, WI 530051664
Phone: (262) 781-0297
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 179 Open Payments records for all available years, with a total value of $2,665.
Total Amount is formed as General ($2,665) + Research ($0) + Ownership ($0) = $2,665.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($467).
Total Amount
$2,665
General + Research + Ownership
Payments
179
Total payment records
General Amount
$2,665
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $467 |
| Axsome Therapeutics, Inc. | $461 |
| Lundbeck LLC | $321 |
| Supernus Pharmaceuticals, Inc. | $237 |
| Otsuka America Pharmaceutical, Inc. | $131 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-05-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080501000134 | I | Nurse Practitioner | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 215 | 60 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 147 | 56 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 69 | 29 | $0 |
Insurance plans in this area (ZIP 53012)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | WI | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 262 | 78 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI |
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