Individual provider Active NPI

Jenna Grace Cusic Berg, MD

  • Plastic and Reconstructive Surgery Physician
  • Waukesha, WI
National Provider Identifier
1831457860
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
61535-20 Issued in WI
Practice address
N4W22370 Bluemound Rd
Waukesha, WI 53186-1683
Phone
(262) 970-5605
NPI assigned
Apr 27, 2012
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201121000200 WI Practitioner - Plastic and Reconstructive Surgery 8224357744 Reassigns benefits to 1 organization

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
CJ Hussussian MD SCGroup PAC ID 1456339993, 5 clinicians

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

ProcedureNumber of procedures
Mastectomy12
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
CJ Hussussian MD SC CurrentSince Sep 15, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.