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Active NPI 1316396633 Individual Practitioner Male Practitioner

Jacob Strange , PA-C

Physician Assistant • Winnebago, WI

Professional Overview & Biography Verified Profile Summary

Jacob Strange, PA-C is a registered healthcare professional specializing in Physician Assistant in Winnebago, WI. Practice services are available at 1300 SOUTH DRIVE under active NPI credentials.

Frequently performed procedures and clinical services include psychiatric diagnostic evaluation with medical services. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 South Drive

Winnebago, WI 54985

Telephone 9202354910
Associated Practice Facility / Clinic
🏢 State Of Wisconsin Facility NPI 1164516506

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Winnebago, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Winnebago, WI (3517 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
1.5% 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 (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90792 Psychiatric diagnostic evaluation with medical services
21 19 $96.83 $95.35

Medical Specialties & State Licenses

CMS Verified: 2023-07-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 3818-23

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License FL PA9109427

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License OH 50.004667RX

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 Wisconsin License
3818-23 (WI)
Commercial Insurance / Payer ID Florida License
PA9109427 (FL)
Commercial Insurance / Payer ID Ohio License
50.004667RX (OH)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Hannah Radloff , APNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1023701414

Advanced Practice Nurse Prescriber

Kevin Pittenger , APNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043882301

Advanced Practice Nurse Prescriber

Michelle Kalman , PA-C

Physician Assistant

NPI 1063527893

Physician Assistant (Certified)

Dr. Bruce Weffenstette , MD

Psychiatry & Neurology - Psychiatry

NPI 1083774830

Doctor of Medicine (M.D.)

Dr. Louis Fulton , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1093702383

Doctor of Medicine (M.D.)

Jesse Childs , PA-C

Physician Assistant - Medical

NPI 1104289099

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 21, 2023

Registered at 1300 SOUTH DRIVE, WINNEBAGO, WI 54985 (Tel: 9202354910)

📍
Updated Business Mailing Address July 21, 2023

Registered at 1521 CLIFFVIEW DR, OSHKOSH, WI 549012575 (Tel: 3306189628)

NPI Profile Active June 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 07, 2016

Registered at 3501 CRANBERRY BLVD, SCHOFIELD, WI 544765213 (Tel: 7153931000)

📍
Updated Business Mailing Address June 07, 2016

Registered at 8436 EVERGREEN DR, SAGAMORE HILLS, OH 440671078 (Tel: 3306189628)

👤
Provider Name / Credentials Updated June 07, 2016

Recorded as JACOB STRANGE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2016

Physician Assistant (License #50.004667RX in OH)

🟢
Initial NPI Registration & Enumeration June 07, 2016

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: 1316396633
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 07, 2016
Last Update: July 21, 2023
Sole Proprietor: Yes

Mailing Address

1521 Cliffview Dr

Oshkosh, WI 549012575

Phone: 3306189628

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.