Individual provider Active NPI

Jennifer Leigh Pittman, PA-C, MMSC

  • Physician Assistant
  • Milwaukee, WI
National Provider Identifier
1720716640
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5852-23 Issued in WI
Practice address
2801 W Kinnickinnic River Pkwy Ste 1080
Milwaukee, WI 53215-3689
Phone
(414) 908-6500
Fax
(414) 908-6510
NPI assigned
Aug 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5852-23 WI Primary

Addresses

Primary practice location

2801 W Kinnickinnic River Pkwy Ste 1080
Milwaukee, WI 53215-3689

Mailing address

2801 W Kinnickinnic River Pkwy Ste 1080
Milwaukee, WI 53215-3689
Phone (414) 908-6506

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220829000490 WI Practitioner - Physician Assistant 6204210016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Mercer University School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gi Associates LLCGroup PAC ID 6103738562, 55 clinicians

Practice addresses (Care Compare)

2424 S 90TH St
West Allis, WI 53227-2455
Phone (414) 908-6500

2801 W Kinnickinnic River Pkwy
Suite 1080
Milwaukee, WI 53215-3689
Phone (414) 908-6500

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 649-6000

3201 S 16TH St
Suite 2015
Milwaukee, WI 53215-4532
Phone (414) 908-6500

3237 S 16TH St
Milwaukee, WI 53215-4526
Phone (414) 647-5000

Hospital & facility affiliations

  • Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138
  • Ascension St Francis Hospital Hospital, Milwaukee, WI, CCN 520078

Merit-based Incentive Payment System (MIPS)

Final score
85.73 of 100Reported as group
Quality
58.78
Promoting interoperability
95
Improvement activities
40
Cost
88.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5852-23WIMDPhysician Assistant
5852WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Medical Group-Southeast Wisconsin Inc Physician Assistant CurrentSince Oct 1, 2022 Accepting new patients
Gastroenterology Specialists SC Past Accepting new patients
Ascension All Saints Hospital, Inc Past Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000

9969 S 27th St
Ste 3000
Franklin, WI 53132

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

8220 75th St
Ste 100
Kenosha, WI 53142
Phone (262) 687-8300

3811 Spring St
Ste 202
Mount Pleasant, WI 53405
Phone (262) 687-7356

10340 Washington Ave
Ste 101
Sturtevant, WI 53177

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1720716640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY STE 1080",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153689",
            "telephone_number": "414-908-6506",
            "fax_number": "414-908-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY STE 1080",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153689",
            "telephone_number": "414-908-6500",
            "fax_number": "414-908-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "JENNIFER",
        "middle_name": "LEIGH",
        "credential": "PA-C, MMSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "5852-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.