BETH A JEWELL (PA-C) – Physician Assistant, NPI 1790726685
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,672 PHYSICIAN ASSISTANT in WI
Provider Addresses for BETH A JEWELL (PA-C)
430 E DIVISION ST
FOND DU LAC, WI 549354560
Phone: (209) 926-5760
Fax: (920) 926-5769
Type: Location
7974, UW Health Court, Discovery Springs, City of Middleton, Dane County, Wisconsin, 53562, United States
MIDDLETON, WI 535625531
Phone:
Type: Mailing
UW Health Clinic, 7102, Mineral Point Road, West Place, Madison, Dane County, Wisconsin, 53717, United States
MADISON, WI 537171706
Phone: (608) 828-7603
Fax: (608) 828-7644
Type: Location
1900 W SUMNER ST
HARTFORD, WI 530279241
Phone: (262) 673-1143
Type: Location
501 LAKE ST
BEAVER DAM, WI 539161235
Phone:
Type: Mailing
2403 FOLSOM ST
EAU CLAIRE, WI 547032435
Phone: (715) 552-9784
Fax: (715) 835-6370
Type: Mailing
2661 COUNTY HIGHWAY I
CHIPPEWA FALLS, WI 547295407
Phone: (715) 861-0990
Fax: (715) 861-0274
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: 2006-02-07
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 |
|---|---|---|---|---|
| I20060207000989 | 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 54935)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| - | WI | |
| U R O L O G Y | WI | |
| - | WI | |
| P S Y C H I A T R Y | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Vascular Surgery, General Surgery | WI | |
| - | ND | |
| Nephrology, Internal Medicine | WI | |
| Family Practice | WI |
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