Individual provider Active NPI

Jacqueline F Polus, MD

  • Family Medicine Physician
  • Eau Claire, WI
National Provider Identifier
1396851549
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28795 Issued in WI
Practice address
3221 Stein Blvd
Eau Claire, WI 54701-6930
Phone
(715) 834-2788
Fax
(715) 834-2845
NPI assigned
Aug 21, 2006
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28795 WI Primary

Addresses

Primary practice location

3221 Stein Blvd
Eau Claire, WI 54701-6930

Mailing address

2403 Folsom St
Eau Claire, WI 54703-2435
Phone (715) 552-9784

Other identifiers 1

IdentifierTypeStateIssuer
31488200MedicaidWI

Other names 1

  • Jacqueline F Warner Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpolus97676@ewd.direct.hshs.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041229000445 WI Practitioner - Family Practice 7113985797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakleaf Clinics IncGroup PAC ID 4486831328, 103 clinicians

Practice addresses (Care Compare)

3213 Stein Blvd
Eau Claire, WI 54701-6946
Phone (715) 836-9242

3221 Stein Blvd
Suite 4
Eau Claire, WI 54701-4399
Phone (715) 834-2788

3802 Oakwood Mall Dr
Eau Claire, WI 54701-3016
Phone (715) 839-9280

617 W Clairemont Ave
Eau Claire, WI 54701-6223
Phone (715) 834-2788

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28795WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oakleaf Clinics Inc Family Medicine CurrentSince Jun 1, 2017 Accepting new patients
Oakleaf Clinics Inc Family Medicine CurrentSince Jun 1, 2017 Accepting new patients
Oakleaf Clinics Inc Family Medicine Past Accepting new patients

Locations

2403 Folsom St
Eau Claire, WI 54703
Phone (715) 552-9784

3213 Stein Blvd
Eau Claire, WI 54701
Phone (715) 836-9242

3221 Stein Blvd
Eau Claire, WI 54701
Phone (715) 833-2116

3221 Stein Blvd
Ste 4
Eau Claire, WI 54701
Phone (715) 834-2788

617 W Clairemont Ave
Eau Claire, WI 54701
Phone (715) 834-2788

719 W Hamilton Ave
Ste B
Eau Claire, WI 54701
Phone (715) 839-8020

Interoperability endpoints

  • Direct secure messaging: jpolus29871@oakleafmed.gardenplot.direct-ci.com
  • Direct secure messaging: jpolus97676@ewd.direct.hshs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1396851549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 FOLSOM ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032435",
            "telephone_number": "715-552-9784",
            "fax_number": "715-835-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 STEIN BLVD",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016930",
            "telephone_number": "715-834-2788",
            "fax_number": "715-834-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLUS",
        "first_name": "JACQUELINE",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "28795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31488200",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpolus97676@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3221 Stein Blvd",
            "city": "Eau Claire",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547016930",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "WARNER",
            "middle_name": "F",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eau Claire, WI

Sources for this page

Verify at the official NPI Registry.