Individual provider Active NPI

Jake Carpenter Quinn, PA-C, MSPAS

  • Medical Physician Assistant
  • Beaver Dam, WI
National Provider Identifier
1801515432
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
8017 Issued in WI
Practice address
705 S University Ave Ste 200
Beaver Dam, WI 53916-3079
Phone
(920) 887-9272
NPI assigned
Aug 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 8017 WI Primary

Addresses

Primary practice location

705 S University Ave Ste 200
Beaver Dam, WI 53916-3079

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

600 Highland Ave
Madison, WI 53792-2761
Phone (608) 262-2398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, 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

Enrollment IDStateProvider typePAC IDDetails
I20221012000768 CO Practitioner - Physician Assistant 9234505579 Reassigns benefits to 2 organizations
I20241119003190 WI Practitioner - Physician Assistant 9234505579 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians

Practice addresses (Care Compare)

1 S Park St
Madison, WI 53715-1375
Phone (608) 287-2000

100 N Nine Mound Rd
Verona, WI 53593-1032
Phone (608) 287-2770

1001 Nygaard St
Stoughton, WI 53589-5495
Phone (608) 877-2660

1050 E Broadway
Monona, WI 53716-4023
Phone (608) 222-8779

1102 S Park
Floors 2 and 4
Madison, WI 53715-1714
Phone (608) 287-5899

1102 S Park St
Madison, WI 53715-1714
Phone (608) 287-2770

137 S Main St
Oregon, WI 53575-1534
Phone (608) 835-5588

20 S Park St
Madison, WI 53715-1348
Phone (608) 287-2076

2402 Winnebago St
Madison, WI 53704-5341
Phone (608) 287-2770

2418 Brewery Rd
Cross Plains, WI 53528-9470
Phone (608) 798-3344

2651 Windsor St
Sun Prairie, WI 53590-9825
Phone (608) 837-2206

402 W Lake St
Friendship, WI 53934-9699
Phone (608) 339-3331

451 Junction Rd
Madison, WI 53717-2656
Phone (608) 265-7700

5249 E Terrace Dr
Madison, WI 53718-8339
Phone (608) 265-1295

5543 E Cheryl Pkwy
Fitchburg, WI 53711-5376
Phone (608) 274-5300

5618 Odana Rd
Madison, WI 53719-1208
Phone (608) 274-1100

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

705 S University Ave
Suite 200
Beaver Dam, WI 53916-3079
Phone (920) 887-9272

7102 Mineral Point Rd
Madison, WI 53717-1706
Phone (608) 828-7603

7974 Uw Health CT
Middleton, WI 53562-5531

Hospital & facility affiliations

  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • Unitypoint Health - Meriter Hospital, Madison, WI, CCN 520089

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Nov 4, 2024 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Nov 4, 2024 Accepting new patients
Access Community Health Centers, Inc. CurrentSince Nov 4, 2024 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

705 S University Ave
Ste 200
Beaver Dam, WI 53916
Phone (920) 887-9272

402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

2202 S Park St
Madison, WI 53713
Phone (608) 443-5480

1102 S Park St
Ste 100
Madison, WI 53715
Phone (608) 263-3111

2901 W Beltline Hwy
Ste 120
Madison, WI 53713
Phone (608) 443-5500

1100 Delaplaine Ct
Madison, WI 53715
Phone (608) 241-9020

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

2977 Cty Cx
Portage, WI 53901
Phone (608) 742-3004

Organizations & group practices 6

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1801515432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 S UNIVERSITY AVE STE 200",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539163079",
            "telephone_number": "920-887-9272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537922761",
            "country_code": "US",
            "telephone_number": "608-262-2398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "JAKE",
        "middle_name": "CARPENTER",
        "credential": "PA-C, MSPAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-25",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "8017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

Verify at the official NPI Registry.