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

Jenifer M Leistiko, APNP

Individual provider Nurse Practitioner · NPI 1659612026

Jenifer M Leistiko, APNP is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2012, 14 years ago. Practices with Baycare Aurora LLC, a 199-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2013

Practice location Address checks out

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 288-8311
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5266 (WI)

Record details

NPI number1659612026
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedMarch 11, 2013
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Baycare Aurora Llc — 199 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Green Bay