DR. JENNIFER L RADER (M.D.) – Family Medicine Physician, NPI 1528096856

DR. JENNIFER L RADER (M.D.) is a healthcare provider. based in Saint croix falls, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 49251 (WI). The NPI Number for DR. JENNIFER L RADER (M.D.) is 1528096856

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNIFER L RADER (M.D.)
NPI
1528096856
Phone
(715) 483-3221
Address
235 E STATE ST
Enumeration Date
28 June 2006
Last Update Date
20 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
4183685969
Group Practice PAC ID
9335032184
Professional Enrollment ID
I20061109000062
Address ID
WI540244117ST235XXSTXX300

Contacts

Secure Messaging
jrader571863@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

3,063 FAMILY PRACTICE in WI

Provider Addresses for DR. JENNIFER L RADER (M.D.)

  • 235 E STATE ST

    SAINT CROIX FALLS, WI 540244117

    Phone: (715) 483-3221

    Fax: (715) 483-0507

    Type: Location

  • Griffin Street East, Whispering Waters, Amery, Polk County, Wisconsin, 54001, United States

    AMERY, WI 540011439

    Phone: (715) 268-8000

    Fax: (715) 268-0311

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2006-11-09

PECOS data refreshed: 2026-06-15

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
I20061109000062IFamily PracticeWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 54024)

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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: 9335032184View full group profile
NameSpecialtyState
Family PracticeWI
Physician AssistantMN
-WI
-IA
Pulmonary Disease, Sleep MedicineMN
-MN
Cardiovascular Disease (Cardiology)MN
Internal Medicine, Pediatric MedicineMN
-WI
Nurse PractitionerMN

Reviews

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Frequently asked questions

Does DR. JENNIFER L RADER (M.D.) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JENNIFER L RADER (M.D.) uses 1528096856.
Does the file indicate DR. JENNIFER L RADER (M.D.) is practicing under active NPI?
Directory data currently reports DR. JENNIFER L RADER (M.D.) as active.
What is DR. JENNIFER L RADER (M.D.)'s primary classification?
Family Medicine Physician is the headline specialty for DR. JENNIFER L RADER (M.D.) here. Clinical services aligned with this taxonomy classification.
What area does DR. JENNIFER L RADER (M.D.) serve?
DR. JENNIFER L RADER (M.D.)'s listing highlights Saint Croix Falls, Wisconsin; more addresses can appear in NPPES.
How many locations tie to this NPI?
4 practice locations appear in the available data.

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