Doctor profile · Federal record
Dr. Jerrica Vaughan, CPNP-PC
Developmental - Behavioral Pediatrics Physician · Registered Nurse · Pediatric Nurse Practitioner · New Berlin, WI
- NPI 1245768662
- 9 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
4855 S Moorland RD Ste 250
New Berlin, WI 531517494
(262) 789-6020
fax (262) 789-6025 - Mailing address
-
9000 W Wisconsin Ave # MS 958
Milwaukee, WI 532264874
Credentials & registration
- NPI registered
- May 2017 — 9 yrs on file
- Profile last updated
- July 10, 2023
- Specialty taxonomy
- 2080P0006X — NUCC code
- State licenses (3)
- Wisconsin #20227463 · Wisconsin #226174 · Wisconsin #7420
- Medicaid
- WI #1245768662
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1245768662. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$198
Transactions
9
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Corium, LLC | 7 | $165.97 | |
| IRONSHORE PHARMACEUTICALS INC. | 2 | $31.56 |
By nature of payment
Frequently asked questions
What is Dr. Jerrica Vaughan's medical specialty?
Dr. Jerrica Vaughan practices Developmental - Behavioral Pediatrics Physician in New Berlin, WI.
Where does Dr. Jerrica Vaughan practice?
Dr. Jerrica Vaughan practices at 4855 S Moorland RD Ste 250, New Berlin, WI 531517494. Office phone: 2627896020.
What is Dr. Jerrica Vaughan's NPI?
Dr. Jerrica Vaughan's National Provider Identifier (NPI) is 1245768662, issued by NPPES.