Active NPI 1740599646 Individual Practitioner Female Practitioner

Amanda J Jacobs , PA-C

Physician Assistant • Pulaski, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amanda Jacobs, PA-C is a certified Physician Assistant practicing in Pulaski, WI. With approximately 16 years of clinical experience since completing medical education in 2010, Amanda Jacobs delivers high-quality medical care to the local community at 980 S SAINT AUGUSTINE ST.

Amanda Jacobs is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

980 S Saint Augustine St

Pulaski, WI 541629453

Telephone 9208227700

Associated Practice Facility / Clinic

🏢 Baycare Clinic Llp Facility NPI 1689005910

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Pulaski, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs Matches City Avg

City Avg: 16.0 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Pulaski, WI (3517 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

79.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jacobs (16 Years) 16 Yrs

Pulaski Specialty Average (16.0 Years) 16.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	44	$515.00	$99.43
36415 Insertion of needle into vein for collection of blood sample	65	36	$25.00	$8.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$360.00	$96.70
99213 Established patient office or other outpatient visit, typically 15 minutes	24	17	$350.00	$70.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	13	$725.00	$136.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	85	54	$25.00	$8.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	42	$490.00	$101.50
99213 Established patient office or other outpatient visit, typically 15 minutes	45	28	$330.00	$71.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	27	27	$355.00	$98.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$690.00	$134.80
G0008 Administration of influenza virus vaccine	20	19	$64.50	$28.93
90662 Influenza vaccine split virus, preservative free	17	16	$124.41	$71.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	61	42	$25.00	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	37	$465.00	$105.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	33	33	$355.00	$104.04
99213 Established patient office or other outpatient visit, typically 15 minutes	20	18	$313.00	$68.21
G0008 Administration of influenza virus vaccine	16	16	$60.00	$27.99
90662 Influenza vaccine split virus, preservative free	11	11	$114.09	$68.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	96	57	$25.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	37	$435.00	$106.68
99213 Established patient office or other outpatient visit, typically 15 minutes	40	29	$295.00	$73.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	35	35	$350.00	$103.37
G0008 Administration of influenza virus vaccine	21	21	$60.00	$16.22
90662 Influenza vaccine split virus, preservative free	18	18	$104.44	$65.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	73	51	$25.00	$2.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	61	40	$416.00	$86.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$350.00	$90.31
G0008 Administration of influenza virus vaccine	23	21	$60.00	$16.21
99213 Established patient office or other outpatient visit, typically 15 minutes	17	14	$281.00	$60.18
90662 Influenza vaccine split virus, preservative free	15	14	$94.33	$60.57
G0009 Administration of pneumococcal vaccine	13	13	$60.00	$16.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$590.00	$97.38
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$191.36	$118.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	54	34	$393.00	$87.01
36415 Insertion of needle into vein for collection of blood sample	26	20	$30.00	$2.94
G0008 Administration of influenza virus vaccine	17	17	$59.71	$15.92
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	13	13	$350.00	$96.11
90662 Influenza vaccine split virus, preservative free	13	13	$85.00	$54.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	22	$374.00	$84.22
36415 Insertion of needle into vein for collection of blood sample	26	18	$30.00	$2.63
99213 Established patient office or other outpatient visit, typically 15 minutes	22	16	$252.00	$59.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	33	$356.00	$86.02
36415 Insertion of needle into vein for collection of blood sample	43	36	$30.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	31	24	$240.00	$57.74
G0008 Administration of influenza virus vaccine	15	15	$49.67	$24.29

Medical Specialties & State Licenses

CMS Verified: 2025-08-11

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 2678

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

Medicaid State Provider ID

100016926 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

2253 W Mason St, Green Bay, WI 543034706

Phone: 9203277300

Aurora Medical Group, Inc.

101 Express Way, Bonduel, WI 541079041

Phone: 7157586444

Aurora Medical Group, Inc.

1020 N 12th St, Milwaukee, WI 532331308

Phone: 4142193056

Aurora Medical Group, Inc.

980 S Saint Augustine St, Pulaski, WI 541629453

Phone: 9208227700

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Sarah Whelan , MD

Family Medicine

NPI 1477598241

Doctor of Medicine (M.D.)

Patricia Darling Miller , APNP

Nurse Practitioner

NPI 1730294836

Advanced Practice Nurse Prescriber

Kenzie Taylor , NP

Nurse Practitioner

NPI 1992480727

Nurse Practitioner

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Business Mailing Address August 11, 2025

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

📍

Updated Practice Location April 03, 2018

Registered at 980 S SAINT AUGUSTINE ST, PULASKI, WI 541629453 (Tel: 9208227700)

📍

Updated Business Mailing Address April 03, 2018

Registered at 980 S SAINT AUGUSTINE ST, PULASKI, WI 541629453 (Tel: 9208227700)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2018

Physician Assistant (License #2678 in WI)

✅

NPI Profile Active February 10, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location February 10, 2011

Registered at 715 SUPERIOR RD, STE 120, GREEN BAY, WI 543117594 (Tel: 9204069803)

📍

Updated Business Mailing Address February 10, 2011

Registered at 715 SUPERIOR RD, STE 120, GREEN BAY, WI 543117594 (Tel: 9204069803)

👤

Provider Name / Credentials Updated February 10, 2011

Recorded as AMANDA JACOBS, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2011

Physician Assistant (License #2678-23 in WI)

🟢

Initial NPI Registration & Enumeration September 27, 2010

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: 1740599646

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 27, 2010

Last Update: August 11, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.