Active NPI
Jake R Hobbs, PA
- Physician Assistant
- Wauwatosa, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3383-23
- Practice address
- 3077 N Mayfair Rd Ste 305
Wauwatosa, WI 53222-4305 - Phone
- (414) 384-6700
- Fax
- (414) 727-1058
- NPI assigned
- Jul 17, 2014
- Last updated
- Mar 4, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3383-23 | WI | Primary |
Addresses
Primary practice location
3077 N Mayfair Rd Ste 305
Wauwatosa, WI 53222-4305
Mailing address
3077 N Mayfair Rd Ste 305
Wauwatosa, WI 53222-4305
Phone (414) 384-6700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669889069 | Medicaid | WI |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10101 S 27TH St
Franklin, WI 53132-7209
Phone (414) 384-6700
17000 L W Bluemound Rd
Brookfield, WI 53005-5951
Phone (262) 207-4680
19333 W N Ave
Brookfield, WI 53045-4132
Phone (414) 384-6700
3077 N Mayfair Rd
Wauwatosa, WI 53222-4305
Phone (414) 384-6700
3111 W Rawson Ave
Franklin, WI 53132-9417
Phone (414) 384-6700
3111 W Rawson Ave
Suite 200
Franklin, WI 53132-8890
Phone (414) 384-6700
7095 S Ballpark Dr
Suite 100
Franklin, WI 53132-6908
Phone (414) 817-6620
9969 S 27TH St
Suite 1100
Franklin, WI 53132-9533
Phone (414) 384-6700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.61 of 100
- Quality
- 73.65
- Promoting interoperability
- 87
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3383 | WI | MD | General Practice Dentistry |
| 3383-23 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Orthopedic Specialty Hospital, LLC | Current | Accepting new patients | |
| Midwest Orthopedic Specialty Hospital, LLC | Current | Accepting new patients |
Locations
3111 W Rawson Ave
Ste 215
Franklin, WI 53132
Phone (414) 761-0727
7095 S Ballpark Dr
Unit 100
Franklin, WI 53132
Phone (414) 817-6620
Interoperability endpoints
- jake.hobbs.1@32957.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Franklin, WI
- NPI 1275127375
-
- Orthopaedic Surgery Physician
- Wauwatosa, WI
- NPI 1295769321
-
- Rehabilitation Clinic/Center
- Wauwatosa, WI
- NPI 1770221897
-
- Durable Medical Equipment & Medical Supplies
- Muskego, WI
- NPI 1962238113
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension SE Wisconsin Hospital-Elmbrook Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
dba Ascension SE Wisconsin Hospital-Elmbrook Campus
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
- Special Hospital
- Franklin, WI
- NPI 1861635971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1669889069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3077 N MAYFAIR RD STE 305",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532224305",
"telephone_number": "414-384-6700",
"fax_number": "414-727-1058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3077 N MAYFAIR RD STE 305",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532224305",
"telephone_number": "414-384-6700",
"fax_number": "414-727-1058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOBBS",
"first_name": "JAKE",
"middle_name": "R",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-17",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "3383-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669889069",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wauwatosa, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.