Jessica Lynn Cahill, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1934023 Issued in WI

Practice address

410 Dewey St
Wisconsin Rapids, WI 54495-8070

Phone

(715) 423-6060

Fax

(715) 421-7517

NPI assigned

Jul 30, 2006

Last updated

Feb 28, 2008By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Coastline Emergency Physicians LLC

  • Emergency Medicine Physician
  • Dunedin, FL
  • NPI 1891744769
  Medicare reassignment
• Riverview Hospital Association

  dba Riverview Manor

  • Skilled Nursing Facility
  • Wisconsin Rapids, WI
  • NPI 1114944543
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204156800000",
    "number": "1184639825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8080",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544958080",
            "telephone_number": "715-423-6060",
            "fax_number": "715-421-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 DEWEY ST",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544958070",
            "telephone_number": "715-423-6060",
            "fax_number": "715-421-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAHILL",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1934023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42880100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jordan Bui
• Heidi J Bulgrin
• Amanda Bullock, RN
• Nicole L Burlingame
• Mackenzie Buttles, OTR/L
• Tonya Lyn Krueger Callahan, MS CRC LPC
• Carlson Gi Clinic
• Joel M Carlson, M.D.
• Erica Carpenter, LPN
• Alexis N Case, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.