Active NPI
Timothy J Jessick, DO
- Hospice and Palliative Medicine (Family Medicine) Physician
- Oshkosh, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 36739
- Practice address
- 491 S Washburn St
Oshkosh, WI 54904-6733 - Phone
- (920) 364-3600
- Fax
- (920) 364-3900
- NPI assigned
- Aug 19, 2006
- Last updated
- Oct 20, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | 36739 | WI | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 36739 | WY | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 36739 | WI | Primary |
Addresses
Primary practice location
491 S Washburn St
Oshkosh, WI 54904-6733
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 454-4229
Other practice location 1
2600 S Heritage Woods Dr
Appleton, WI 54915-1408
Phone (920) 225-7875
Other practice location 2
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 969-0919
Other practice location 3
2424 S 90th St
West Allis, WI 53227-2455
Phone (414) 385-2716
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36739 | WI | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
| 36739 | WY | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Interoperability endpoints
- tjessick23256@direct.myadvocateaurora.org
Ownership & related parties
All facility ownership & control disclosures 2
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| SSM Health at Home Hospice-Wisconsin | Hospice | W-2 Managing Employee | Dec 12, 2022 |
| Thedacare at Home | Hospice | Corporate Director W-2 Managing Employee |
Apr 1, 2026 Apr 1, 2026 |
Owned or controlled facilities with NPI records 2
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Home Health United Hospice
- Community Based Hospice Care Agency
- Baraboo, WI
- NPI 1306990221
W-2 Managing Employee
-
- Community Based Hospice Care Agency
- Appleton, WI
- NPI 1881787380
Corporate Director, W-2 Managing Employee
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba ThedaCare Physicians
- Family Medicine Physician
- New London, WI
- NPI 1376656959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760918400000",
"number": "1619081080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 NEENAH CTR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563070",
"telephone_number": "920-454-4229",
"fax_number": "920-993-5003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "491 S WASHBURN ST",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549046733",
"telephone_number": "920-364-3600",
"fax_number": "920-364-3900"
}
],
"practiceLocations": [
{
"address_1": "2600 S Heritage Woods Dr",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549151408",
"country_code": "US",
"telephone_number": "920-225-7875",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1818 N Meade St",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549113454",
"country_code": "US",
"telephone_number": "920-969-0919",
"fax_number": "920-969-0020",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2424 S 90th St",
"address_purpose": "LOCATION",
"city": "West Allis",
"state": "WI",
"postal_code": "532272455",
"country_code": "US",
"telephone_number": "414-385-2716",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JESSICK",
"first_name": "TIMOTHY",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2025-10-20",
"certification_date": "2025-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "WI",
"license": "36739",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "WY",
"license": "36739",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "WI",
"license": "36739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oshkosh, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.