JENNA MAE SPUDE (DNP, APNP, FNP-C) – Nurse Practitioner, NPI 1750930079

JENNA MAE SPUDE (DNP, APNP, FNP-C) is a healthcare provider. based in Oshkosh, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APNP, FNP-C. They hold a License No. 9382-33 (WI). The NPI Number for JENNA MAE SPUDE (DNP, APNP, FNP-C) is 1750930079

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
JENNA MAE SPUDE (DNP, APNP, FNP-C)
NPI
1750930079
Phone
(920) 223-2000
Address
1855 S Koeller St
Enumeration Date
9 September 2019
Last Update Date
21 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9207663200
Graduation Year
2019 (7 years ago)
PAC ID
5991036220
Group Practice PAC ID
6709794258
Professional Enrollment ID
I20191017000222
Address ID
WI541307305KA1500XWAYX300
Telehealth
Yes

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
jspude219383@direct.myadvocateaurora.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

6,035 NURSE PRACTITIONER in WI

Provider Addresses for JENNA MAE SPUDE (DNP, APNP, FNP-C)

  • 1855 S Koeller St

    Oshkosh, WI 549026186

    Phone: (920) 223-2000

    Type: Location

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    GREEN BAY, WI 543079070

    Phone: (920) 429-1700

    Fax: (920) 429-1799

    Type: Mailing

  • Saint Mary's Hospital Medical Center, 1726, Shawano Avenue, Green Bay, Brown County, Wisconsin, 54303, United States

    GREEN BAY, WI 543033216

    Phone: (920) 429-1700

    Fax: (920) 429-1799

    Type: Location

  • 1186 Appleton Rd

    Menasha, WI 549521906

    Phone: (920) 727-8700

    Type: Location

  • PO BOX 22487

    GREEN BAY, WI 543052487

    Phone: (920) 445-7222

    Fax: (920) 445-7289

    Type: Mailing

  • 725 S WEBSTER AVE STE 303

    GREEN BAY, WI 543013539

    Phone: (920) 431-5650

    Fax: (920) 433-7400

    Type: Location

  • PO BOX 735044

    CHICAGO, IL 606735044

    Phone: (800) 326-2250

    Type: Mailing

  • 2845 GREENBRIER RD

    GREEN BAY, WI 543116519

    Phone: (920) 288-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $831.

Total Amount is formed as General ($831) + Research ($0) + Ownership ($0) = $831.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Gilead Sciences, Inc. ($720).

Total Amount

$831

General + Research + Ownership

Payments

8

Total payment records

General Amount

$831

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-10-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20191017000222INurse PractitionerWITBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54902)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709794258View full group profile

Reviews

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Frequently asked questions

What NPI should I save for JENNA MAE SPUDE (DNP, APNP, FNP-C)?
Save NPI 1750930079 if you need a stable reference for JENNA MAE SPUDE (DNP, APNP, FNP-C).
Does this profile mean JENNA MAE SPUDE (DNP, APNP, FNP-C) is currently active?
Yes — JENNA MAE SPUDE (DNP, APNP, FNP-C) appears active in the national provider directory.
What kind of provider is JENNA MAE SPUDE (DNP, APNP, FNP-C)?
The page reflects Nurse Practitioner for JENNA MAE SPUDE (DNP, APNP, FNP-C). Clinical services aligned with this taxonomy classification.
Does JENNA MAE SPUDE (DNP, APNP, FNP-C) practice in Wisconsin?
You will see Oshkosh, Wisconsin on file for JENNA MAE SPUDE (DNP, APNP, FNP-C) alongside any extra practice locations.
Is JENNA MAE SPUDE (DNP, APNP, FNP-C) a real provider?
This page reflects official NPPES data for NPI 1750930079. Always confirm identity and privileges with the practice and licensing boards.

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