Individual provider Active NPI

Jeremy Jason Wojtecki, PA-C

  • Physician Assistant
  • Brookfield, WI
National Provider Identifier
1871812180
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2577 Issued in WI
Practice address
150 S Sunny Slope Rd
Suite 136
Brookfield, WI 53005-6461
Phone
(262) 786-4550
Fax
(262) 786-4552
NPI assigned
May 26, 2010
Last updated
Sep 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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 2577 WI Primary

Addresses

Primary practice location

150 S Sunny Slope Rd
Suite 136
Brookfield, WI 53005-6461

Mailing address

150 S Sunny Slope Rd
Suite 136
Brookfield, WI 53005-6461
Phone (262) 786-4550

Other practice location 1

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 831-1841

Other identifiers 1

IdentifierTypeStateIssuer
1871812180MedicaidWI

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000058 WI Practitioner - Physician Assistant 5395861371 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infectious Disease Specialists of SE Wi, SCGroup PAC ID 5890697874, 13 clinicians
Oak Medical SCGroup PAC ID 0042595175, 118 clinicians

Practice addresses (Care Compare)

150 S Sunny Slope Rd
Suite 136
Brookfield, WI 53005-4858
Phone (262) 786-4550

19333 W N Ave
Brookfield, WI 53045-4132
Phone (262) 785-2000

36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-5000

7500 W Dean Rd
Milwaukee, WI 53223-2638
Phone (414) 371-7300

W180N8071 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 251-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2577WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Thedacare, Incorporated CurrentSince Apr 1, 2025 Accepting new patients

Locations

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

Organizations & group practices 4

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": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1871812180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S SUNNY SLOPE RD",
            "address_2": "SUITE 136",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056461",
            "telephone_number": "262-786-4550",
            "fax_number": "262-786-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S SUNNY SLOPE RD",
            "address_2": "SUITE 136",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530056461",
            "telephone_number": "262-786-4550",
            "fax_number": "262-786-4552"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113454",
            "country_code": "US",
            "telephone_number": "920-831-1841",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOJTECKI",
        "first_name": "JEREMY",
        "middle_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-26",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1871812180",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.