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

Jessica A Grant, APNP

Individual provider Family Nurse Practitioner · NPI 1255018370

Jessica A Grant, APNP is a Nurse Practitioner in Waupaca, Wisconsin. Qualified in 2023, 3 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2023
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Practice location Address checks out

710 Riverside Dr
Waupaca, WI 54981-1941
Phone: (715) 256-3000
Fax: (715) 256-3028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Riverside Dr, Waupaca, WI 54981-1943 — (715) 256-3000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 14159 (WI)

Record details

NPI number1255018370
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJune 30, 2023
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waupaca