JESSICA JO TOMASIEWICZ – Certified Registered Nurse Anesthetist, NPI 1013399047

JESSICA JO TOMASIEWICZ is a healthcare provider. based in Berlin, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold a License No. 164565-30 (WI). The NPI Number for JESSICA JO TOMASIEWICZ is 1013399047

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA JO TOMASIEWICZ
NPI
1013399047
Phone
(920) 361-5538
Address
225 MEMORIAL DR
Enumeration Date
26 June 2015
Last Update Date
2 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9206223257
Graduation Year
2015 (11 years ago)
PAC ID
9032423413
Group Practice PAC ID
3476539875
Professional Enrollment ID
I20150729008133
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

Provider Addresses for JESSICA JO TOMASIEWICZ

  • 225 MEMORIAL DR

    BERLIN, WI 549231243

    Phone: (920) 361-5538

    Fax: (920) 361-5499

    Type: Location

  • PO BOX 8003

    APPLETON, WI 549128003

    Phone: (920) 830-5900

    Fax: (920) 738-5787

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $238.

Total Amount is formed as General ($238) + Research ($0) + Ownership ($0) = $238.

Last reported payment date: 2024-06-03 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($215).

Total Amount

$238

General + Research + Ownership

Payments

9

Total payment records

General Amount

$238

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150729008133ICertified Registered Nurse Anesthetist (Crna)WITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00142Anesthesia for lens surgery3331$0
00811Anesthesia for other procedure on large bowel using an endoscope1212$0
00910Anesthesia for other procedure on urinary system through urethra1212$0
View full utilization report →

Insurance plans in this area (ZIP 54923)

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Provider's Procedures

JESSICA JO TOMASIEWICZ performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETWI00142Anesthesia for lens surgery1616

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476539875View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YWI
-WI
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
-WI
-GA
Certified Registered Nurse Anesthetist (Crna)WI
Certified Registered Nurse Anesthetist (Crna)WI
-ND
Certified Registered Nurse Anesthetist (Crna)WI

Reviews

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Frequently asked questions

What is the registry number for JESSICA JO TOMASIEWICZ?
The registry entry for JESSICA JO TOMASIEWICZ shows NPI 1013399047.
Should I treat JESSICA JO TOMASIEWICZ as an active provider?
Patients and plans typically see JESSICA JO TOMASIEWICZ as active in the national extract.
What does the directory say JESSICA JO TOMASIEWICZ does?
Insurance directories may phrase it differently, but here JESSICA JO TOMASIEWICZ maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to JESSICA JO TOMASIEWICZ?
JESSICA JO TOMASIEWICZ is associated with Berlin, Wisconsin in the same public data insurers reference.
Who maintains JESSICA JO TOMASIEWICZ's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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