Jennifer Massaro, APRN
Nurse Practitioner in Milwaukee, WI. Individual provider (NPI-1).
NPI number1962038463
StatusActive
Last updated in NPPESDec 29, 2025
Details
- NPI
- 1962038463
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Massaro
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 16, 2020
- Certification date
- Dec 29, 2025
- Last updated
- Dec 29, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- 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 |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9891-33 | WI | Yes |
| 363LF0000X | Nurse Practitioner, Family | 9891-33 | WI |
Practice location
2900 W Oklahoma AveMilwaukee, WI 53215-4330
Phone 414-649-6380
Mailing address
Po Box 735044Chicago, IL 60673-5044
Phone 800-326-2250 · Fax 414-805-0855
Other practice locations
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Milwaukee, WI 53226-3522
Phone 414-805-0812 · Fax 414-805-0855
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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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