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

Katie Jean Des Jardins

Individual provider Registered Nurse · NPI 1982075701

Katie Jean Des Jardins is a Nurse Practitioner in Appleton, Wisconsin. Qualified in 2022, 4 years ago. Practices with Northeast Wisconsin Foot and Ankle Assoc SC, a 4-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2015
Specialties on file
3
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Practice location Address checks out

1301 E Northland Ave Ste B
Appleton, WI 54911-8582
Phone: (920) 731-1999
Fax: (920) 731-3729
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1301 E Northland Ave Ste B, Appleton, WI 54911-8582 — (920) 731-1999

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 14228-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 247937-30 (WI)
Athletic Trainer Taxonomy 2255A2300X · Licence 1922-39 (WI)

Record details

NPI number1982075701
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 20, 2015
Last updated in NPPESFebruary 27, 2025
Certification dateFebruary 27, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Northeast Wisconsin Foot And Ankle Assoc Sc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Appleton