Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jackie Mae Mathews

Individual provider Neonatal Nurse Practitioner · NPI 1679461081

Jackie Mae Mathews is a Nurse Practitioner in LA Crosse, Wisconsin. Graduated from Rush Medical College of Rush University in 2025, 1 year ago. Practices with Gundersen Lutheran Medical Center Inc, a 896-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Trained at
Rush Medical College of Rush University
Licensed in
WI
In the registry since
2025

Practice location Address checks out

1900 S Ave
LA Crosse, WI 54601-5467
Phone: (608) 775-3375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neonatal Nurse Practitioner (primary) Taxonomy 363LN0000X · Licence 16966-33 (WI)

Record details

NPI number1679461081
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2025
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address17208 Kendall Ave, Norwalk, WI 54648-7002

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2025 (1 years in practice)
Group practice Gundersen Lutheran Medical Center Inc — 896 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in LA Crosse