Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164462792 Individual Practitioner Female Practitioner

Jennifer Black , PA-C

Physician Assistant • Merrill, WI

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jennifer Black, PA-C is a registered healthcare professional specializing in Physician Assistant in Merrill, WI. Official NPI practice address is registered at 601 S CENTER AVE.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

601 S Center Ave

Merrill, WI 544523404

Telephone 7155365511
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Merrill, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Merrill, WI (3517 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
56 54 $152.00 $61.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
52 48 $224.00 $89.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
24 24 $224.00 $88.57

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 1910

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Wi State Lic
1910 (WI)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Dr. Robyn Schertz , MD

Emergency Medicine

NPI 1043410673

Doctor of Medicine (M.D.)

Dr. Michael Aldrich , MD

Emergency Medicine

NPI 1215031414

Doctor of Medicine (M.D.)

Dr. Daniel Hampton , DO

Emergency Medicine

NPI 1225226863

Doctor of Osteopathic Medicine (D.O.)

Jessica Nelson , OTR

Occupational Therapist

NPI 1285334185

Occupational Therapist Registered

Dr. Raul Pinon , DO

Emergency Medicine

NPI 1447271481

Doctor of Osteopathic Medicine (D.O.)

Dr. Alvin Riley , DO

Internal Medicine

NPI 1548230303

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active April 20, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address April 20, 2017

Registered at 411 WESTWOOD DR, WAUSAU, WI 544014152 (Tel: 7158472558)

📍
Updated Practice Location April 20, 2017

Registered at 601 S CENTER AVE, MERRILL, WI 544523404 (Tel: 7155365511)

👤
Provider Name / Credentials Updated April 20, 2017

Recorded as JENNIFER BLACK, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2017

Physician Assistant (License #1910 in WI)

NPI Profile Active August 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2015

Registered at 601 S CENTER AVE, MERRILL, WI 544523404 (Tel: 7155365511)

📍
Updated Business Mailing Address August 13, 2015

Registered at 601 S CENTER AVE, MERRILL, WI 544523404 (Tel: 7155365511)

👤
Provider Name / Credentials Updated August 13, 2015

Recorded as JENNIFER BLACK, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2015

Physician Assistant (License #1910 in WI)

🟢
Initial NPI Registration & Enumeration June 08, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164462792
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2006
Last Update: April 20, 2017
Sole Proprietor: No

Mailing Address

411 Westwood Dr

Wausau, WI 544014152

Phone: 7158472558

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.