ALAN PETER JAKUBOWSKI (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1609964261
Physical Medicine & Rehabilitation Physician
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NPPES metrics only — not quality of care.
1,154 PHYSICAL MEDICINE AND REHABILITATION in CA
Provider Addresses for ALAN PETER JAKUBOWSKI (M.D.)
900, East Grant Street, Huntley Houses, Appleton, Outagamie County, Wisconsin, 54911, United States
APPLETON, WI 549113487
Phone: (920) 831-5050
Type: Mailing
3975 Old Redwood Hwy Ste 152
Santa Rosa, CA 954031719
Phone: (707) 566-5669
Fax: (707) 566-5517
Type: Location
3975 OLD REDWOOD HWY STE 152
SANTA ROSA, CA 954031719
Phone: (707) 566-5669
Fax: (707) 566-5517
Type: Mailing
PO BOX 5074
SIOUX FALLS, SD 571175074
Phone: (605) 328-6585
Fax: (605) 312-9802
Type: Mailing
736 BROADWAY N
FARGO, ND 581024421
Phone: (701) 234-2000
Type: Location
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 $43.
Total Amount is formed as General ($43) + Research ($0) + Ownership ($0) = $43.
Last reported payment date: 2024-03-21 • Largest payer in this snapshot: PIRAMAL CRITICAL CARE ($24).
Total Amount
$43
General + Research + Ownership
Payments
2
Total payment records
General Amount
$43
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PIRAMAL CRITICAL CARE | $24 |
| Ipsen Biopharmaceuticals, Inc | $19 |
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: 2024-01-23
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20080212000224 | I | Physical Medicine And Rehabilitation | CA | TBD |
| I20240123003223 | I | Physical Medicine And Rehabilitation | ND | 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 54911)
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