Individual provider Active NPI

Jean Stransky, PA-C

  • Physician Assistant
  • Reedsburg, WI
National Provider Identifier
1861489320
Registry record updated Jul 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
870 Issued in WI
Practice address
344 S Willow St
Reedsburg, WI 53959-2041
Phone
(608) 768-3333
Fax
(608) 768-3335
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2014

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 870 WI Primary

Addresses

Primary practice location

344 S Willow St
Reedsburg, WI 53959-2041

Mailing address

344 S Willow St
Reedsburg, WI 53959-2041
Phone (608) 768-3333

Other identifiers 1

IdentifierTypeStateIssuer
42954600MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404345600000",
    "number": "1861489320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 S WILLOW ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539592041",
            "telephone_number": "608-768-3333",
            "fax_number": "608-768-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 S WILLOW ST",
            "city": "REEDSBURG",
            "state": "WI",
            "postal_code": "539592041",
            "telephone_number": "608-768-3333",
            "fax_number": "608-768-3335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRANSKY",
        "first_name": "JEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2014-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42954600",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsburg, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.