Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline M Kaufman, AGPCNP-BC

Individual provider Registered Nurse · NPI 1861926396

Jacqueline M Kaufman, AGPCNP-BC is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2017, 9 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
9
Licensed in
MI, WI
In the registry since
2017
Specialties on file
4
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Practice location Address checks out

744 S Webster Ave
Green Bay, WI 54301-3505
Phone: (920) 433-3640
Fax: (920) 433-3716
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2820 Roosevelt Rd, Marinette, WI 54143-3834 — (715) 735-5225
  • 820 Arbutus Ave, Oconto, WI 54153-2004 — (920) 835-1100

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7839-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 232951-30 (WI)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence 4704297325 (MI)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 7839-33 (WI)

Record details

NPI number1861926396
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP-BC
Sole proprietorNo
NPI enumeratedApril 11, 2017
Last updated in NPPESDecember 31, 2019
Certification dateDecember 31, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Green Bay