HILLARY MARIE AHOLA-JACQUES (PA-C, MPAS) – Physician Assistant, NPI 1053806083
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,672 PHYSICIAN ASSISTANT in WI
Provider Addresses for HILLARY MARIE AHOLA-JACQUES (PA-C, MPAS)
1620 N Shawano St Ste C
New London, WI 549619318
Phone: (920) 982-3870
Type: Location
2351 State Road 44
Oshkosh, WI 549046333
Phone: (920) 651-8855
Type: Location
2700 Crooks Ave Ste 101
Kaukauna, WI 541303900
Phone: (920) 581-5561
Fax: (920) 785-5511
Type: Location
Lightning Drive, Appleton, Outagamie County, Wisconsin, 54912, United States
APPLETON, WI 54913
Phone: (920) 968-1790
Type: Location
801, York Street, Manitowoc, Manitowoc County, Wisconsin, 54220, United States
MANITOWOC, WI 542204630
Phone: (920) 663-9008
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $336.
Total Amount is formed as General ($336) + Research ($0) + Ownership ($0) = $336.
Last reported payment date: 2024-07-29 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($208).
Total Amount
$336
General + Research + Ownership
Payments
15
Total payment records
General Amount
$336
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-29
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2018-08-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180802001454 | I | Physician Assistant | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 684 | 104 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 267 | 190 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 188 | 129 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 146 | 130 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 100 | 49 | $0 |
Insurance plans in this area (ZIP 54961)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| Physician Assistant | VA | |
| - | VA | |
| D E R M A T O L O G Y | TX | |
| - | WI | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | WI | |
| - | WI | |
| Physician Assistant | NY | |
| D E R M A T O L O G Y | WA |
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