Hillary Marie Ahola-Jacques, PA-C, MPAS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4423-23 Issued in WI

Practice address

3935 N Lightning Dr
Appleton, WI 54913

Phone

(920) 968-1790

NPI assigned

Jun 22, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Hillary Marie Ahola Former name

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hillary.ahola@forefrontdermatology.emadirect.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Appleton, WI
  • NPI 1083768253
  Medicare reassignment Care Compare group
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Green Bay, WI
  • NPI 1093044950
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1053806083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3935 N LIGHTNING DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "54913",
            "telephone_number": "920-968-1790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2351 State Road 44",
            "address_purpose": "LOCATION",
            "city": "Oshkosh",
            "state": "WI",
            "postal_code": "549046333",
            "country_code": "US",
            "telephone_number": "920-651-8855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 N Shawano St Ste C",
            "address_purpose": "LOCATION",
            "city": "New London",
            "state": "WI",
            "postal_code": "549619318",
            "country_code": "US",
            "telephone_number": "920-982-3870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2700 Crooks Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kaukauna",
            "state": "WI",
            "postal_code": "541303900",
            "country_code": "US",
            "telephone_number": "920-581-5561",
            "fax_number": "920-785-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHOLA-JACQUES",
        "first_name": "HILLARY",
        "middle_name": "MARIE",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-22",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4423-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hillary.Ahola@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1620 N Shawano St Ste C",
            "city": "New London",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549619318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hillary.Ahola@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2351 State Road 44",
            "city": "Oshkosh",
            "state": "WI",
            "country_code": "US",
            "postal_code": "549046333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hillary.Ahola@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "3935 N Lightning Dr",
            "city": "Appleton",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54913",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Hillary.Ahola@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2700 Crooks Ave Ste 101",
            "city": "Kaukauna",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541303900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "AHOLA",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rebecca J Ahlborn, PHARMD
• Sahar Ahmad, MD
• Abdulmohsin M Ahmadjee, M.D
• Ahmed Abdirashid Ahmed
• Vicki Lynn Aho
• Ahp 007
• Elisa Marie Ahrens
• Jessica Ahrens, CSAC
• Maria Vladimirovna Akhutina, MD
• Arshad Al-Mashhadani, MD

• Physician Assistant in Appleton, WI
• Providers in Appleton, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.