Jonathan David Packard, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

13618 Issued in MN

Practice address

200 1St St SW
Rochester, MN 55905-0001

Phone

(507) 284-2511

NPI assigned

Dec 30, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

90.65 of 100Reported as group

Quality

87.9

Promoting interoperability

100

Improvement activities

40

Cost

73.87

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aspirus Medford Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Gilman, WI
  • NPI 1285703173
  Medicare reassignment NPD
• Aspirus Medford Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Medford, WI
  • NPI 1619079597
  Medicare reassignment NPD
• Aspirus Riverview Hospital & Clinics, Inc.

  • General Acute Care Hospital
  • Wisconsin Rapids, WI
  • NPI 1295754844
  Medicare reassignment NPD
• Aspirus Medford Hospital & Clinics, Inc.

  • Medicare Defined Swing Bed Hospital Unit
  • Medford, WI
  • NPI 1427105923
  NPD
• Aspirus Medford Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Medford, WI
  • NPI 1427140649
  NPD
• Aspirus Medford Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Prentice, WI
  • NPI 1710066584
  NPD
• Aspirus Riverview Hospital & Clinics, Inc.

  • Rural Health Clinic/Center
  • Nekoosa, WI
  • NPI 1104284512
  NPD
• Aspirus Wausau Hospital, Inc.

  • Nephrology Physician
  • Wausau, WI
  • NPI 1629179908
  NPD (past)

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1659968121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKARD",
        "first_name": "JONATHAN",
        "middle_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-30",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "5369",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "13618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Maria Pabelick, M.D.
• John M Pach, M.D.
• Marwil Pacheco, MD
• Deirdre R Pachman, M.D.
• Daniel George Daubek Packard, MD
• Holly Lynnette Packman
• Ratnasari Padang, MBBS (HONS1) PHD
• Denny J Padgett
• Hannah Miya Padilla
• Aswath Padmanabhan Chandrasekar, M.B.B.S.

• Physician Assistant in Rochester, MN
• Providers in Rochester, MN by specialty
• Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.