Timothy J Jessick, DO
Individual provider Active NPI Hospice and Palliative Medicine (Family Medicine) Physician · Oshkosh, WI
NPI 1619081080 · NPPES record last updated Oct 20, 2025
Key facts
- NPI
- 1619081080
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X
- License
- 36739 (WI)
- Practice address
- 491 S Washburn St
Oshkosh, WI 54904-6733 - Phone
- (920) 364-3600
- Fax
- (920) 364-3900
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Owned or controlled facilities with NPI records 2
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: Yes
All facility ownership & control disclosures 2
| 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 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100817000361 | WI | Practitioner - Hospice/Palliative Care |
6103917109 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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
Specialties & licenses
| 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 | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100003391 | Medicaid | WI |
Other providers in Oshkosh, WI
- Marc S Jennings
- Doreen Elizabeth Jensen
- G F Jensen
- Tyler J Jensen
- Jason M Jeske
- Jordyn Justine Jirschele
- Christine Ann Joecks-Magin
- Mary Johanknecht
- John E Buonora Crna, S.C.
- John J Johnsen
All providers in Oshkosh, WI · Hospice and Palliative Medicine (Family Medicine) Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2025. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.