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Jodi Space in Crandon, Wisconsin

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Jodi Space has Nurse Practitioner as her primary medical specialty. Their primary office is: 8201 Mish Ko Swen Dr in Crandon, Wisconsin.

They're a part of the: Forest County Potawatomi Community medical group which has around 14 members. You can call their office at 715-478-4300 to schedule an appointment. They also accept the Medicare-approved amount as payment in full. They attended University Of Missouri, Columbia School Of Medicine and graduated in 2012 (around 12 years of experience). They are not listed as doing telehealth appointments, but this may have changed. It can't hurt to call and check. If anything it may encourage them to make them available if they are not currently.


Jodi L Space Office Phone and Directions

Jodi Space
Forest County Potawatomi Community
8201 Mish Ko Swen Dr
Crandon, Wisconsin 54520
715-478-4300


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Phone: 715-478-4300


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Healthcare Info for Jodi Space

Medical School: University Of Missouri, Columbia School Of Medicine
Graduation Year: 2012
The Primary Medical Specialty for Jodi Space is listed as: Nurse Practitioner
Approximate Years of Experience: 12
PAC (PECOS ID)#: 3971758962
NPI #: 1518217280
NPI Created On: 09/10/2012
NPI Last Updated Listed as: 01/19/2022
Primary Taxonomy Code: 363L00000X
License Number:
5012
Listed Gender: Female

Accepted forms of Insurance


Forms of insurance accepted by include, but are not limited to:

  • Humana
  • Aspirus Arise Health Plan of Wisconsin, Inc.
  • Security Health Plan
  • Medicare

They are listed as accepting new patients.

Languages spoken by staff include: English.


They took part in the Medicare Physician Quality Reporting System (PQRS).

Open Payments Data. This can include items to test (Durable Medical Equipment (DME)), Biological, Drug Samples, etc. This data must be reported to CMS.


Payments Total: $47

Number of Payments:: 1

Form of Payment: In-kind items and services

Record ID:: 830346033

Being Disputed:: No

Product Related: Yes

Drug or Biological: Drug

Product Category #1: PSYCHIATRY

Name of Drug #1: CAPLYTA

Open Associated Drug #1: 72060-142-30


Nurse Practitioner Professionals in Crandon

3144 Vanzile Rd
Crandon, WI
Sokaogon Chippewa Community

8201 Mish Ko Swen Dr
Crandon, WI
Forest County Potawatomi Community

8201 Mish Ko Swen Dr
Crandon, WI
Forest County Potawatomi Community

400 W Glen St
Crandon, WI
Aspirus Rhinelander And Tomahawk Hospitals And Clinics Inc

3144 Vanzile Rd
Crandon, WI
Sokaogon Chippewa Community

400 W Glen St
Crandon, WI
Aspirus Rhinelander And Tomahawk Hospitals And Clinics Inc

Providers in Forest County Potawatomi Community

1.Shelly Buch

8201 Mish Ko Swen Dr
Crandon Wi 54520-8631
Forest County Potawatomi Community
Nurse Practitioner

2.Andrew Kelly

8201 Mish Ko Swen Dr
Crandon Wi 54520-8631
Forest County Potawatomi Community
Physical Therapy

3.Amanda Lallensack

8201 Mish Ko Swen Dr
Crandon Wi 54520-8631
Forest County Potawatomi Community
Optometry

4.David Larsen Dpm

8201 Mish Ko Swen Dr
Crandon Wi 54520-8631
Forest County Potawatomi Community
Podiatry

5.Shannon Meyer Dpm

8201 Mish Ko Swen Dr
Crandon Wi 54520-8631
Forest County Potawatomi Community
Podiatry

6.Grant Packard

8201 Mish Ko Swen Dr
Crandon Wi 54520-8631
Forest County Potawatomi Community
Chiropractic

View all 14 members of Forest County Potawatomi Community medical group