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

Jeffrey Allen Fillmore, APNP

Individual provider Nurse Practitioner · NPI 1992382873

Jeffrey Allen Fillmore, APNP is a Nurse Practitioner in New London, Wisconsin. Qualified in 2020, 6 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1405 Mill St
New London, WI 54961-2155
Phone: (920) 531-2400
Fax: (920) 531-2450
Show map & directions

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

Additional practice locations (1)

  • 600 N Koeller St, Oshkosh, WI 54902-3241 — (920) 385-6612

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10818 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 10818-33 (WI)

Record details

NPI number1992382873
Entity typeIndividual (Type 1)
GenderMale
Credentials APNP
Sole proprietorNo
NPI enumeratedMarch 26, 2021
Last updated in NPPESFebruary 14, 2022
Certification dateFebruary 14, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New London