Individual provider Active NPI

Jessica Ann Perse, M.D.

  • Surgery Physician
  • Brookfield, WI
National Provider Identifier
1093046013
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
76543 Issued in WI
Practice address
2455 N 124TH St
Brookfield, WI 53005-4630
Phone
(216) 399-3715
NPI assigned
Jan 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35.060007 OH
Surgery Physician 208600000X 76543 WI Primary

Addresses

Primary practice location

2455 N 124TH St
Brookfield, WI 53005-4630

Mailing address

2455 N 124TH St
Brookfield, WI 53005-4630
Phone (216) 399-3715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220428000568 WI Practitioner - General Surgery 6002945334 Reassigns benefits to 1 organization
I20240320002377 MN Practitioner - General Surgery 6002945334 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.060007OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care PA CurrentSince Jan 19, 2022 Accepting new patients
American Current Care P.a. Current Accepting new patients
American Current Care P.a. CurrentSince Jan 19, 2022 Accepting new patients
American Current Care of Minnesota PC CurrentSince Mar 1, 2024 Accepting new patients
American Current Care PA Current Accepting new patients
University Primary Care Practices Inc Past Accepting new patients

Locations

10190 Baltimore St NE
Ste 100
Blaine, MN 55449
Phone (763) 780-8264

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

2455 N 124th St
Brookfield, WI 53005
Phone (262) 782-9326

358 Junction Rd
Madison, WI 53717
Phone (608) 829-1888

215 N 35th St
Milwaukee, WI 53208
Phone (414) 931-7600

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1093046013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 N 124TH ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054630",
            "telephone_number": "216-399-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 N 124TH ST",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054630",
            "telephone_number": "216-399-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSE",
        "first_name": "JESSICA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35.060007",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "76543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.