Jennifer M McCommons, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

998 023 Issued in WI

Practice address

3119 Woodman Dr
Altoona, WI 54720-2668

Phone

(888) 277-3832

NPI assigned

Jul 4, 2006

Last updated

Apr 14, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmccommons43568@direct.poc.prevea.com

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.

• Chippewa Valley Hospital & Oakview Care Center Inc.

  dba AdventHealth Durand

  • Emergency Medicine Physician
  • Durand, WI
  • NPI 1659471068
  Medicare reassignment NPD
• Appleton Emergency Services S C

  • Emergency Medicine Physician
  • Appleton, WI
  • NPI 1588666853
  Medicare reassignment
• Ascension Calumet Hospital, Inc

  dba Ascension Calumet Hospital

  • Critical Access Hospital
  • Chilton, WI
  • NPI 1376541748
  Medicare reassignment
• Tri-County Memorial Hospital, Inc.

  • Rural Health Clinic/Center
  • Whitehall, WI
  • NPI 1417201864
  Medicare reassignment
• Chippewa Valley Hospital & Oakview Care Center, Inc.

  dba AdventHealth Durand

  • Critical Access Hospital
  • Durand, WI
  • NPI 1194737817
  NPD
• Tri-County Memorial Hospital, Inc.

  • Clinic/Center
  • Independence, WI
  • NPI 1073335642
  NPD
• Physician Associates of Wisconsin, SC

  • Clinic/Center
  • Milwaukee, WI
  • NPI 1437472172
  NPD (past)
• Racine Emergency Physicians, S.C.

  • Emergency Medicine Physician
  • Racine, WI
  • NPI 1184654121
  NPD (past)
• St Clare Memorial Hospital, Inc.

  dba HSHS Community Pharmacy - Oconto Falls

  • Institutional Pharmacy
  • Oconto Falls, WI
  • NPI 1073536967
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1508896572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3085 MEADOWLARK LN",
            "address_2": "STE 20",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202656",
            "telephone_number": "414-988-6350",
            "fax_number": "414-988-6355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3119 WOODMAN DR",
            "city": "ALTOONA",
            "state": "WI",
            "postal_code": "547202668",
            "telephone_number": "888-277-3832"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18601 Lincoln St",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "WI",
            "postal_code": "547738605",
            "country_code": "US",
            "telephone_number": "715-538-4361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 S 76th St",
            "address_2": "suite 240",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532141599",
            "country_code": "US",
            "telephone_number": "414-988-6350",
            "fax_number": "414-988-6355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "855 S Main St",
            "address_purpose": "LOCATION",
            "city": "Oconto Falls",
            "state": "WI",
            "postal_code": "541541241",
            "country_code": "US",
            "telephone_number": "920-846-3444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCOMMONS",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "998 023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmccommons43568@direct.poc.prevea.com",
            "affiliation": "N",
            "address_1": "855 S Main St",
            "city": "Oconto Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541541241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anthony Paul Martin, D.D.S.
• Amy Marie Marvin, FNP-C
• Carie Lynn Massey, PT DPT
• Philip Jason Mazzei, LAT, ATC
• Mark A McCarthy, MD
• MCHS Hospitals Inc (Marshfield Clinic Altoona Sports Therapy and Rehab Center)
• MCHS Hospitals Inc (Marshfield Clinic Altoona Sports Therapy and Rehab Center)
• Ashley Merritt
• Shawna Rose Mess, PA-C
• Timothy Mess, PA-C

• Medical Physician Assistant in Altoona, WI
• Providers in Altoona, WI by specialty
• Medical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.