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

Jay Mitchell Jevne, PMHNP

Individual provider Nurse Practitioner · NPI 1942849484

Jay Mitchell Jevne, PMHNP is a Nurse Practitioner in Cumberland, Wisconsin. Qualified in 2019, 7 years ago. Practices with The Lakes Community Health Center Inc, a 107-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2020
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1110 7th Ave
Cumberland, WI 54829-9138
Phone: (715) 822-7500
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 9972 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 9972 (WI)

Record details

NPI number1942849484
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedJanuary 2, 2020
Last updated in NPPESMarch 12, 2025
Certification dateMarch 6, 2025
Mailing address1150 6th Ave, Cumberland, WI 54829-9103

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Lakes Community Health Center Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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