Individual provider Active NPI

Patricia Jens, MD

  • Psychiatry Physician
  • Madison, WI
National Provider Identifier
1487754701
Registry record updated Sep 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
27913-020 Issued in WI
Practice address
5734 Elder PL
Madison, WI 53705-2516
Phone
(608) 231-2063
Fax
(608) 231-9143
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 27913-020 WI Primary

Addresses

Primary practice location

5734 Elder PL
Madison, WI 53705-2516

Mailing address

5734 Elder PL
Madison, WI 53705-2516
Phone (608) 231-2063

Other identifiers 1

IdentifierTypeStateIssuer
30768300MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27913-020WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Green PastSince Jul 1, 2012 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220313600000",
    "number": "1487754701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 ELDER PL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052516",
            "telephone_number": "608-231-2063",
            "fax_number": "608-231-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5734 ELDER PL",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537052516",
            "telephone_number": "608-231-2063",
            "fax_number": "608-231-9143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENS",
        "first_name": "PATRICIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "27913-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30768300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.