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

Jessica Shumow, APNP

Individual provider Family Nurse Practitioner · NPI 1063230860

Jessica Shumow, APNP is a Nurse Practitioner in Oconomowoc, Wisconsin. Qualified in 2023, 3 years ago. Practices with Rogers Memorial Hospital Incorporated, a 45-clinician group. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2024

Practice location Address checks out

34700 Valley Rd
Oconomowoc, WI 53066-4500
Phone: (262) 646-4411
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 15909-30 (WI)

Record details

NPI number1063230860
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedSeptember 30, 2024
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

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 Rogers Memorial Hospital Incorporated — 45 clinicians
Accepts Medicare assignment Not indicated

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