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

Jordan David Kribbs

Individual provider Registered Nurse · NPI 1528943305

Jordan David Kribbs is a Nurse Practitioner in Wausau, Wisconsin. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Wisconsin.

Years since qualifying
1
Licensed in
WI
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

415 S 1st Ave Apt 212
Wausau, WI 54401-4770
Phone: (858) 335-2434
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 17309-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 258780 (WI)

Record details

NPI number1528943305
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 9, 2025
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address415 S 1st Ave Apt 212, Wausau, WI 54401-4770

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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