JACOB ENZ (PA-C) – Student Health Clinic/Center, NPI 1104550276
Student Health Clinic/Center
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,672 PHYSICIAN ASSISTANT in WI
Provider Addresses for JACOB ENZ (PA-C)
529 Hunters Point rd
Neenah, WI 54956
Phone: (920) 570-9095
Type: Location
529 HUNTERS POINT RD
NEENAH, WI 54956
Phone: (920) 570-9095
Type: Location
700 S PARK ST STE A
MADISON, WI 537151830
Phone: (608) 260-2900
Fax: (608) 260-2961
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $329.
Total Amount is formed as General ($329) + Research ($0) + Ownership ($0) = $329.
Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ATRICURE, INC. ($192).
Total Amount
$329
General + Research + Ownership
Payments
2
Total payment records
General Amount
$329
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ATRICURE, INC. | $192 |
| Terumo Cardiovascular Systems Corporation | $136 |
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: 2023-08-30
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 |
|---|---|---|---|---|
| I20230830000478 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54956)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | WA | |
| - | WI | |
| O P T O M E T R Y | WI | |
| N E U R O S U R G E R Y | NE | |
| - | WI | |
| Physician Assistant | WI | |
| Family Practice | WI | |
| Cardiovascular Disease (Cardiology) | TX | |
| - | WI | |
| Family Practice | WI |
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