Active NPI
Jenna Grace Cusic Berg, MD
- Plastic and Reconstructive Surgery Physician
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 61535-20
- Practice address
- N4W22370 Bluemound Rd
Waukesha, WI 53186-1683 - Phone
- (262) 970-5605
- NPI assigned
- Apr 27, 2012
- Last updated
- Aug 21, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery of the Hand (Plastic Surgery) Physician | 2082S0105X | 61535-20 | WI | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 61535-20 | WI | Primary |
Addresses
Primary practice location
N4W22370 Bluemound Rd
Waukesha, WI 53186-1683
Mailing address
N4W22370 Bluemound Rd
Waukesha, WI 53186-1683
Phone (262) 970-5605
Other names 1
- Jenna Grace Cusic
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Plastic and Reconstructive Surgery
- Education
- University of North Dakota School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
N4W22370 Bluemound Rd
Suite 100
Waukesha, WI 53186-1683
Phone (262) 970-5600
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 12 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CJ Hussussian MD SC | Current | Accepting new patients |
Locations
19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000
6400 Industrial Loop
Greendale, WI 53129
Phone (414) 423-4100
1111 Delafield St
Ste 100
Waukesha, WI 53188
Phone (262) 928-4300
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
N4W22370 Bluemound Rd
Waukesha, WI 53186
Phone (262) 970-5600
N4W22370 Bluemound Rd
Ste 100
Waukesha, WI 53186
Phone (262) 547-0199
8901 W Lincoln Ave
West Allis, WI 53227
Phone (414) 328-6000
Interoperability endpoints
- jgcusic@yourcarecommunity.org
Organizations & group practices 1
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.
-
- Plastic Surgery Physician
- Waukesha, WI
- NPI 1831260405
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1831457860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N4W22370 BLUEMOUND RD",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531861683",
"telephone_number": "262-970-5605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N4W22370 BLUEMOUND RD",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531861683",
"telephone_number": "262-970-5605"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERG",
"first_name": "JENNA",
"middle_name": "GRACE CUSIC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-27",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0105X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Surgery of the Hand",
"state": "WI",
"license": "61535-20",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "WI",
"license": "61535-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "CUSIC",
"middle_name": "GRACE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.
- 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.