Jennifer M McCommons, PA-C
Individual provider Active NPI Medical Physician Assistant · Altoona, WI
NPI 1508896572 · NPPES record last updated Apr 14, 2022
Key facts
- NPI
- 1508896572
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 998 023 (WI)
- Practice address
- 3119 Woodman Dr
Altoona, WI 54720-2668 - Phone
- (888) 277-3832
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050609000037 | WI | Practitioner - Physician Assistant | 1355384496 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 998 023 | WI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chippewa Valley Hospital & Oakview Care Center, Inc. | Current |
Accepting new patients | |
| Chippewa Valley Hospital & Oakview Care Center Inc. | Current |
Accepting new patients | |
| Tri-County Memorial Hospital, Inc. | Current |
Accepting new patients | |
| Racine Emergency Physicians, S.C. | Past | Accepting new patients | |
| Physician Associates of Wisconsin, SC | Past |
Accepting new patients | |
| St Clare Memorial Hospital, Inc. | Past | Accepting new patients |
Locations
1220 3rd Ave W
Durand, WI 54736
Phone (715) 642-4211
18601 Lincoln St
Whitehall, WI 54773
Phone (715) 538-1712
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 998 023 | WI | Yes |
Addresses
Primary practice location
3119 Woodman Dr
Altoona, WI 54720-2668
Mailing address
3085 Meadowlark LN
Ste 20
Altoona, WI 54720-2656
Phone (414) 988-6350
Other practice location 1
18601 Lincoln St
Whitehall, WI 54773-8605
Phone (715) 538-4361
Other practice location 2
620 S 76th St
suite 240
Milwaukee, WI 53214-1599
Phone (414) 988-6350
Other practice location 3
855 S Main St
Oconto Falls, WI 54154-1241
Phone (920) 846-3444
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmccommons43568@direct.poc.prevea.com |
Other providers in Altoona, WI
- Anthony Paul Martin
- Amy Marie Marvin
- Carie Lynn Massey
- Philip Jason Mazzei
- Mark A McCarthy
- MCHS Hospitals Inc
- MCHS Hospitals Inc
- Ashley Merritt
- Shawna Rose Mess
- Timothy Mess
All providers in Altoona, WI · Medical Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.