NPIMap

Individual provider Active NPI

Jennifer Lynn Lamba, PA-C

  • Physician Assistant
  • Fitchburg, WI
National Provider Identifier
1093439721
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
7114-23 Issued in WI
Practice address
2840 Index Rd
Fitchburg, WI 53713-3117
Phone
(608) 229-7221
NPI assigned
Sep 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 7114-23 WI Primary

Addresses

Primary practice location

2840 Index Rd
Fitchburg, WI 53713-3117

Mailing address

2840 Index Rd
Fitchburg, WI 53713-3117
Phone (608) 229-7221

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221102002406 WI Practitioner - Physician Assistant 5890162903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Wisconsin School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Area Renal Specialists SCGroup PAC ID 8628979432, 5 clinicians
Sauk Prairie Healthcare IncGroup PAC ID 8224948054, 122 clinicians

Practice addresses (Care Compare)

1407 Creston Park Dr
Janesville, WI 53545-1127
Phone (608) 752-6362

250 26TH St
Prairie Du Sac, WI 53578-2204
Phone (608) 644-3000

2831 Okeeffe Ave
Sun Prairie, WI 53590-7057
Phone (608) 274-6358

2840 Index Rd
Fitchburg, WI 53713-3117
Phone (608) 229-7221

3034 Fish Hatchery Rd
Fitchburg, WI 53713-3125
Phone (608) 270-5600

700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100

707 14TH St
Baraboo, WI 53913-1539
Phone (608) 356-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.57
Promoting interoperability
100
Improvement activities
40
Cost
86.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7114-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sauk Prairie Healthcare, Inc. CurrentSince Mar 2, 2026 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Sauk Prairie Healthcare Inc CurrentSince Mar 2, 2026 Accepting new patients
Sauk Prairie Healthcare Inc Past Accepting new patients

Locations

250 26th St
Ste 140
Prairie du Sac, WI 53578
Phone (608) 643-2258

250 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2431

Interoperability endpoints

  • Direct secure messaging: jlamba400460@direct-ehr-ssmhc.com
  • Direct secure messaging: jlamba813437@direct.unitypoint.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1664236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1093439721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2840 INDEX RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133117",
            "telephone_number": "608-229-7221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2840 INDEX RD",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537133117",
            "telephone_number": "608-229-7221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMBA",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-27",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "7114-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

Verify at the official NPI Registry.