JAYDEN DER (M.D.) – Physical Medicine & Rehabilitation Physician, NPI 1659659282

JAYDEN DER (M.D.) is a healthcare provider. based in Sheboygan, Wisconsin. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials M.D.. They hold a License No. 4301098870 (MI). The NPI Number for JAYDEN DER (M.D.) is 1659659282

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
JAYDEN DER (M.D.)
NPI
1659659282
Phone
(920) 457-4461
Address
2414 KOHLER MEMORIAL DR
Enumeration Date
1 August 2011
Last Update Date
7 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9208315050
Graduation Year
2011 (15 years ago)
PAC ID
2961635057
Group Practice PAC ID
1759294887
Professional Enrollment ID
I20160804002273
Address ID
WI549118728AP2400XDRXX400

Contacts

FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
jder177691@direct.myadvocateaurora.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:14State licenses:2Other namesUpdated within 12 months

256 PHYSICAL MEDICINE AND REHABILITATION in WI

Provider Addresses for JAYDEN DER (M.D.)

  • 2414 KOHLER MEMORIAL DR

    SHEBOYGAN, WI 530813129

    Phone: (920) 457-4461

    Fax: (920) 459-1483

    Type: Location

  • 3 NEENAH CTR

    NEENAH, WI 549563070

    Phone: (920) 831-5050

    Fax: (920) 738-6507

    Type: Mailing

  • 2400 E CAPITOL DR

    APPLETON, WI 549118728

    Phone: (920) 831-5050

    Fax: (920) 738-6507

    Type: Location

  • 2414 Kohler Memorial Dr

    Sheboygan, WI 530813129

    Phone: (920) 457-4461

    Fax: (920) 459-1483

    Type: Location

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: 2016-08-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160804002273IPhysical Medicine And RehabilitationWITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6455$0
99203New patient office or other outpatient visit, 30-44 minutes5050$0
99204New patient office or other outpatient visit, 45-59 minutes2424$0
99215Established patient office or other outpatient visit, 40-54 minutes2020$0
View full utilization report →

Insurance plans in this area (ZIP 53081)

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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: 1759294887View full group profile
NameSpecialtyState
Family PracticeWI
Family PracticeWI
-FL
Hospitalist, Internal MedicineMI
P S Y C H I A T R YWI
-WI
-WA
Physician AssistantWI
Family PracticeWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

What is the standard ID for JAYDEN DER (M.D.) in the U.S.?
In the U.S., JAYDEN DER (M.D.) is identified by NPI 1659659282.
Does the public listing show JAYDEN DER (M.D.) as active?
JAYDEN DER (M.D.)'s NPI record reflects an active status in NPPES.
How should patients interpret JAYDEN DER (M.D.)'s specialty?
The extract shows Physical Medicine & Rehabilitation Physician for JAYDEN DER (M.D.). Clinical services aligned with this taxonomy classification.
Is JAYDEN DER (M.D.) tied to Sheboygan, Wisconsin?
If you are local to Sheboygan, Wisconsin, JAYDEN DER (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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