Jennifer Lee Sobczak, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1293-23 Issued in WI

Practice address

16455 W Bluemound Rd Ste 120
Brookfield, WI 53005-5921

Phone

(262) 784-7820

Fax

(262) 784-7936

NPI assigned

Feb 13, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Gasperetti Other name

Electronic endpoints 2

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

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Appleton, WI
  • NPI 1083768253
  Medicare reassignment Care Compare group
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Mount Pleasant, WI
  • NPI 1083981906
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Brookfield, WI
  • NPI 1699588145
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1831162445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16455 W BLUEMOUND RD STE 120",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530055921",
            "telephone_number": "262-784-7820",
            "fax_number": "262-784-7936"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 PABST FARMS CIR STE 180",
            "address_purpose": "LOCATION",
            "city": "OCONOMOWOC",
            "state": "WI",
            "postal_code": "530664877",
            "country_code": "US",
            "telephone_number": "262-560-0322",
            "fax_number": "262-560-0379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBCZAK",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1293-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jennifer.Sobczak@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1320 PABST FARMS CIR STE 180",
            "city": "OCONOMOWOC",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530664877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jennifer.Sobczak@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "16455 W BLUEMOUND RD STE 120",
            "city": "BROOKFIELD",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530055921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GASPERETTI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lindsay Marie Smith
• Mary Elisabeth Smith, BA
• Tammy Smith, PT
• John A. Smolik, M.D.
• SNH Wis Tenant LLC
• Saify Natiq Sobhani
• Glenn Eugene Sondag, MD
• Philip L Sonderman, MD
• Hannah Song
• Sorum Physiotherapy, LLC

• Physician Assistant in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.