Active NPI
Jennifer Ann Lenius, PA-C
- Physician Assistant
- Green Bay, WI
National Provider Identifier
1316049943
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2006
- Practice address
- 2430 E Mason St
Green Bay, WI 54302-3759 - Phone
- (920) 406-9863
- NPI assigned
- Sep 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 2006 | WI | |
| Physician Assistant | 363A00000X | 2006 | WI | Primary |
Addresses
Primary practice location
2430 E Mason St
Green Bay, WI 54302-3759
Mailing address
2430 E Mason St
Green Bay, WI 54302-3759
Phone (920) 406-9863
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Medical Patient Care | Past | Accepting new patients | |
| Michigan Medical Patient Care | Past | Accepting new patients |
Interoperability endpoints
- jlenius947469@direct.emplifyhealth.org
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Grand Rapids, MI
- NPI 1073567806
-
- Durable Medical Equipment & Medical Supplies
- Holland, MI
- NPI 1871741652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327536000000",
"number": "1316049943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 E MASON ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543023759",
"telephone_number": "920-406-9863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 E MASON ST",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543023759",
"telephone_number": "920-406-9863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LENIUS",
"first_name": "JENNIFER",
"middle_name": "ANN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-03",
"last_updated": "2012-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WI",
"license": "2006",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "2006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.