NPIMap

Individual provider Active NPI

Jody L Wilkins, PA

  • Physician Assistant
  • Wausau, WI
National Provider Identifier
1114989050
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-00914 Issued in KS
Practice address
3000 Westhill Dr
Suite 100
Wausau, WI 54401-3795
Phone
(715) 847-2812
NPI assigned
Apr 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 15-00914 KS Primary

Addresses

Primary practice location

3000 Westhill Dr
Suite 100
Wausau, WI 54401-3795

Mailing address

3000 Westhill Dr
Suite 100
Wausau, WI 54401-3795

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
I20070604000487 WI Practitioner - Physician Assistant 3375552615 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Wausau Hospital IncGroup PAC ID 6406757442, 242 clinicians

Practice addresses (Care Compare)

333 Pine Ridge Blvd
Wausau, WI 54401-4102

333 Pine Ridge Blvd
Wausau, WI 54401-4120
Phone (715) 847-2121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.15 of 100Reported as group
Quality
73.7
Promoting interoperability
100
Improvement activities
40
Cost
76.71

Merit-based Incentive Payment System (MIPS)

Final score
90.56 of 100Reported as group
Quality
87.43
Promoting interoperability
100
Improvement activities
40
Cost
78.24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00914KSMDAddiction (Substance Use Disorder) Counselor
15-00914KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Savior Healthcare, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Dec 1, 2021 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Mar 15, 2010 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jul 1, 2014 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc. CurrentSince Jul 20, 2023 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Aspirus Merrill Hospital & Clinics, Inc. CurrentSince Jul 20, 2023 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Jul 1, 2014 Accepting new patients
Aspirus Stanley Hospital & Clinics, Inc CurrentSince Jul 20, 2023 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jun 4, 2007 Accepting new patients
Aspirus Wausau Hospital, Inc CurrentSince Mar 15, 2010 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jun 4, 2007 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

601 S Center Ave
Merrill, WI 54452
Phone (715) 536-5511

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

2720 Plaza Dr
Ste 1400A
Wausau, WI 54401
Phone (715) 847-0426

3000 Westhill Dr
Ste 100
Wausau, WI 54401
Phone (715) 847-2772

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

1660 Sue Alan Dr
Wittenberg, WI 54499
Phone (715) 241-5426

Organizations & group practices 17

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

View all 17

Hospital & facility affiliations 10

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114989050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 WESTHILL DR",
            "address_2": "SUITE 100",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 WESTHILL DR",
            "address_2": "SUITE 100",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013795",
            "telephone_number": "715-847-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "JODY",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-00914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.