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

MS. Jill Koch Wanggaard, NP

Individual provider Nurse Practitioner · NPI 1396734034

MS. Jill Koch Wanggaard, NP is a Nurse Practitioner in Mount Pleasant, Wisconsin. Qualified in 1997, 29 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
29
Licensed in
WI
In the registry since
2005
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

8400 Washington Ave
Mount Pleasant, WI 53406-3735
Phone: (262) 884-4088
Fax: (262) 884-4078
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3805b Spring St, Racine, WI 53405-1641 — (262) 687-4479

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 74115 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 74115-030 (WI)

Record details

NPI number1396734034
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedOctober 15, 2005
Last updated in NPPESNovember 23, 2021
Certification dateNovember 23, 2021
Mailing address3301 W Forest Home Ave, Milwaukee, WI 53215-2843

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Aurora Medical Group, Inc. — 3741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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