Jacqueline Ebert
Case Manager/Care Coordinator in Green Bay, WI. Individual provider (NPI-1).
NPI number1245876374
StatusActive
Last updated in NPPESNov 25, 2019
Details
- NPI
- 1245876374
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Ebert
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 25, 2019
- Last updated
- Nov 25, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | – | Yes |
Practice location
830 Edgewood DrGreen Bay, WI 54311-5204
Phone 920-465-9977
Mailing address
830 Edgewood DrGreen Bay, WI 54311-5204
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 37 Case Manager/Care Coordinator providers in Green Bay · All 5,539 providers in Green Bay
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