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

MS. Jennifer Ann Heenan, APNP

Individual provider Nurse Practitioner · NPI 1316234362

MS. Jennifer Ann Heenan, APNP is a Nurse Practitioner in Appleton, Wisconsin. Qualified in 2010, 16 years ago. Practices with Surgical Associates of Neenah, SC, a 29-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
16
Licensed in
WI
In the registry since
2011
Specialties on file
3
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Practice location Address checks out

5320 W Michaels Dr
Appleton, WI 54913-8446
Phone: (920) 882-8200
Fax: (920) 882-8225
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4390-33 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4390-033 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 146092-30 (WI)

Record details

NPI number1316234362
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJune 28, 2011
Last updated in NPPESJuly 5, 2021
Certification dateJuly 5, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Surgical Associates Of Neenah, S.C. — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Appleton