Individual provider Active NPI

Timothy J Jessick, DO

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Oshkosh, WI
National Provider Identifier
1619081080
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
36739 Issued in WI
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000361 WI Practitioner - Hospice/Palliative CarePractitioner - Family Practice 6103917109 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36739WIMDHospice and Palliative Medicine (Family Medicine) Physician
36739WYMDHospice and Palliative Medicine (Family Medicine) Physician

Interoperability endpoints

  • Direct secure messaging: 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.

FacilityTypeRoleSince
SSM Health at Home Hospice-WisconsinBaraboo, WI, CCN 521522 Hospice W-2 Managing Employee Dec 12, 2022
Thedacare at HomeAppleton, WI, CCN 521504 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.

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.

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

Verify at the official NPI Registry.