Jamie Lea Taylor Bell, PA-C
Individual provider Active NPI Physician Assistant · Hayward, WI
NPI 1609986280 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1609986280
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1334-023 (WI)
- Practice address
- 11134 N State Road 77
Hayward, WI 54843-5325 - Phone
- (715) 634-5505
- Fax
- (715) 634-5558
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advantage Physical Therapy and Sports Rehab, LLC
St Marys Hospital of Superior
Practice addresses (Care Compare)
10405 Vermont Ave
Hayward, WI 54843-6111
Phone (715) 699-1355
11134 N State Rd
Suite 77
Hayward, WI 54843-5325
Phone (715) 634-5505
Hospital & facility affiliations
- St Marys Hospital Superior
- Tamarack Health Hayward Medical Center
- Essentia Health St Mary'S Medical Center
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 |
|---|---|---|---|---|
| I20070727000242 | WI | Practitioner - Physician Assistant | 0941301493 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1334 | WI | MD | Physician Assistant |
| 1334-023 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Duluth Clinic Health System | Current | Accepting new patients | |
| St. Mary'S Hospital of Superior | Current |
Accepting new patients | |
| St. Mary'S Hospital of Superior | Current |
Accepting new patients | |
| The Duluth Clinic, LTD | Past | Accepting new patients |
Locations
11134 N State Road 77
Hayward, WI 54843
Phone (715) 634-5505
3500 Tower Ave
Ste 1
Superior, WI 54880
Phone (715) 395-5457
3500 Tower Ave
Superior, WI 54880
Phone (715) 392-8281
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1334 | WI | |
| Physician Assistant | 363A00000X | 1334-023 | WI | Yes |
Addresses
Primary practice location
11134 N State Road 77
Hayward, WI 54843-5325
Mailing address
105 4TH Ave
PO Box 336
Shell Lake, WI 54871-0336
Phone (715) 468-2711
Other practice location 1
105 4th Ave
Shell Lake, WI 54871-0336
Phone (715) 468-2711
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41924600 | Medicaid | WI |
Other providers in Hayward, WI
- Yessica Barron
- Tanya M. Barton
- Marie Annette Basty
- John William Bauer
- Susan Beth Bauer
- Gina Marie Benson
- Rae Jean Bergner
- Tamara E Bergum
- John Berlin
- Kari Patricia Berube
All providers in Hayward, WI · 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 Mar 17, 2018. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.