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

Jeffery E Kobernusz, NP

Individual provider Nurse Practitioner · NPI 1699967000

Jeffery E Kobernusz, NP is a Nurse Practitioner in Madison, Wisconsin. Qualified in 2007, 19 years ago. Practices with University of Wisconsin Medical Foundation Inc, a 2,536-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4602 Eastpark Blvd
Madison, WI 53718-2002
Phone: (608) 263-7540
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 144524 (WI)

Record details

NPI number1699967000
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedAugust 10, 2007
Last updated in NPPESFebruary 16, 2021
Certification dateFebruary 16, 2021
Mailing address7974 Uw Health Ct, Middleton, WI 53562-5531

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice University Of Wisconsin Medical Foundation Inc — 2536 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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