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

Mary Jane De Jesus

Individual provider Registered Nurse · NPI 1194337089

Mary Jane De Jesus is a Nurse Practitioner in Milwaukee, Wisconsin. Qualified in 2019, 7 years ago. Practices with Procare Medical Group SC, a 16-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
7
Licensed in
WI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3727 W Wisconsin Ave
Milwaukee, WI 53208-3182
Phone: (414) 291-2626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 934 S 32nd St, Milwaukee, WI 53215-1550 — (414) 519-6888

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 10316-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 199574-30 (WI)

Record details

NPI number1194337089
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 20, 2020
Last updated in NPPESMarch 29, 2021
Certification dateMarch 29, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Procare Medical Group Sc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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