Individual provider Active NPI

Jennifer S Saul, MD

  • Child & Adolescent Psychiatry Physician
  • Oconomowoc, WI
National Provider Identifier
1487610853
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
45863 Issued in WI
Practice address
34700 Valley Rd
Oconomowoc, WI 53066-4500
Phone
(800) 767-4411
NPI assigned
Apr 25, 2006
Last updated
Dec 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 45863 WI Primary

Addresses

Primary practice location

34700 Valley Rd
Oconomowoc, WI 53066-4500

Mailing address

2001 S Central Ave Ste a
Marshfield, WI 54449-4973
Phone (715) 384-2818

Other identifiers 1

IdentifierTypeStateIssuer
34423400MedicaidWI

Other names 1

  • Dr. Jennifer S Moravec Former name

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
I20140304001362 WI Practitioner - Psychiatry 4082672233 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Michigan State University College of Human Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Rogers Memorial Hospital IncorporatedGroup PAC ID 3476455809, 46 clinicians

Practice addresses (Care Compare)

34700 Valley Rd
Oconomowoc, WI 53066-4500
Phone (262) 646-4411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
45863WIMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rogers Memorial Hospital Incorporated CurrentSince Apr 9, 2018 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 9, 2016 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 9, 2016 Accepting new patients
Clark County CurrentSince Sep 18, 2015 Accepting new patients
Clark County CurrentSince Sep 18, 2015 Accepting new patients
Child & Adolescent Psychiatry Consulting LLC CurrentSince Jun 1, 2006 Accepting new patients
Preventative Mental Healthcare Services Past Accepting new patients
Synergos P.C. Past Accepting new patients
Child & Adolescent Psychiatry Consulting LLC Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

2001 S Central Ave
Ste A
Marshfield, WI 54449
Phone (715) 305-8689

517 Court St
Rm 503
Neillsville, WI 54456
Phone (715) 743-5192

1205 Corporate Center Dr
Oconomowoc, WI 53066
Phone (262) 567-4828

1230 Corporate Center Dr
Ste 400
Oconomowoc, WI 53066
Phone (262) 646-6311

34700 Valley Rd
Oconomowoc, WI 53066

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

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766707200000",
    "number": "1487610853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S CENTRAL AVE STE A",
            "city": "MARSHFIELD",
            "state": "WI",
            "postal_code": "544494973",
            "telephone_number": "715-384-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34700 VALLEY RD",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664500",
            "telephone_number": "800-767-4411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUL",
        "first_name": "JENNIFER",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WI",
            "license": "45863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34423400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MORAVEC",
            "middle_name": "S",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oconomowoc, WI

Sources for this page

Verify at the official NPI Registry.