Jessica L. Lietzan, FNP-C
NPI 1043901085ActiveIndividual· Nurse Practitioner, Family· Manitowoc, WI
Nurse Practitioner, Family (FNP-C) with Froedtert Manitowoc Medical Group, LLC, practicing in Manitowoc, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $152,252 for 1,793 claims, against $26,327 paid for services in 2024. Lists Holy Family Memorial as a hospital affiliation.
Overview
| NPI | 1043901085 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | No |
| NPI issued | May 19, 2023 |
| Last updated in NPPES | May 19, 2023 |
| Certified by provider | Jul 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 13101-33 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 175 |
|---|---|
| Services billed | 554 across 31 procedure codes |
| Paid by Medicare | $26,327 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,793 · 3,488 30-day fills |
|---|---|
| Patients | 359 |
| Total drug cost | $152,252 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Froedtert Manitowoc Medical Group, LLCSheboygan, WI · 156 clinicians
Hospital affiliation
- Holy Family MemorialManitowoc, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Family providers in Manitowoc
- 1316889264
- 1083312409
- 1013023597
- 1780174664
- 1164316196
- 1144044322
- 1407604457
- 1356693071
- 1821300443
- 1891320735
- 1730813502
- 1629575261