Jennifer Joseph, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5363 Issued in WI

Practice address

2815 County Highway I
Chippewa Falls, WI 54729-2656

Phone

(715) 438-8255

NPI assigned

Dec 29, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Baltazar Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA, WI2 enrollments

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 2

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.

• Oakleaf Clinics Inc

  • Internal Medicine Physician
  • Eau Claire, WI
  • NPI 1295127082

  WI

  Medicare reassignment NPD
• John F. Lalonde, D.O., Inc.

  • Family Medicine Physician
  • Costa Mesa, CA
  • NPI 1174654347

  CA

  Medicare reassignment
• Oakleaf Clinics Inc

  • Obstetrics & Gynecology Physician
  • Eau Claire, WI
  • NPI 1194289751
  NPD

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1689943136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 W HAMILTON AVE STE B",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016970",
            "telephone_number": "715-552-9784",
            "fax_number": "715-835-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 COUNTY HIGHWAY I",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547292656",
            "telephone_number": "715-438-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "JENNIFER",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-29",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21774",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "5363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbaltazar308970@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "855 Lakeland Dr",
            "city": "Chippewa Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "547291687",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BALTAZAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beth A Jewell, PA-C
• Kathryn L Johnson, MA, LPC
• Michael Todd Johnson, CMT
• Robert S Johnson, PT
• Shani T Johnson, PT,DSCPT,CMPT
• Dane Jusula, LCSW
• Drew M Kaminski, D.C
• Kaylen Kammers
• Vallie M Kaprelian, MD
• Susan Anne Kasik-Miller, MS, RD, CNSC

• All providers in Chippewa Falls, WI
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.