TIMOTHY J JESSICK (DO) – Hospice and Palliative Medicine (Family Medicine) Physician, NPI 1619081080
Hospice and Palliative Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TIMOTHY J JESSICK (DO)
2600 S HERITAGE WOODS DR
APPLETON, WI 549151408
Phone: (920) 225-7875
Type: Location
2600 S Heritage Woods Dr
Appleton, WI 549151408
Phone: (920) 225-7875
Type: Location
2424 S 90th St
West Allis, WI 532272455
Phone: (414) 385-2716
Type: Location
1818 N Meade St
Appleton, WI 549113454
Phone: (920) 969-0919
Fax: (920) 969-0020
Type: Location
491 S WASHBURN ST
OSHKOSH, WI 549046733
Phone: (920) 364-3600
Fax: (920) 364-3900
Type: Location
3 NEENAH CTR
NEENAH, WI 549563070
Phone: (920) 454-4229
Fax: (920) 993-5003
Type: Mailing
South 90th Street, West Allis, Milwaukee County, Wisconsin, 53227, United States
WEST ALLIS, WI 532272455
Phone: (414) 385-2716
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: 2010-08-17
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 |
|---|---|---|---|---|
| I20100817000361 | I | Hospice/Palliative Care | 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 54915)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Family Practice | WI | |
| Geriatric Medicine, Internal Medicine | WI | |
| - | WI | |
| - | WI | |
| - | IL | |
| Family Practice | WI | |
| - | OH | |
| - | WI |
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