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

Raelynn Jakkola, APNP

Individual provider Nurse Practitioner · NPI 1548792476

Raelynn Jakkola, APNP is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2016, 10 years ago. Practices with St Luke's Hospital of Duluth, a 413-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2017
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Practice location Address checks out

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone: (920) 288-8350
Fax: (920) 288-8355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1506 S Oneida St, Appleton, WI 54915-1305 — (920) 730-2640

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 7534 (WI)

Record details

NPI number1548792476
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedMarch 30, 2017
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice St. Luke'S Hospital Of Duluth — 413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Green Bay