JACOB R WARRENS (PA) – Physician Assistant, NPI 1972925790
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for JACOB R WARRENS (PA)
PO BOX 22487
GREEN BAY, WI 543052487
Phone: (920) 445-7210
Fax: (920) 445-7289
Type: Mailing
405 Commercial St
Seymour, WI 541658474
Phone: (920) 833-2318
Fax: (920) 833-6883
Type: Location
3415 Custer St
Manitowoc, WI 542204324
Phone: (920) 652-9310
Fax: (920) 652-9316
Type: Location
555 Quality Ct
Wrightstown, WI 541809006
Phone: (920) 532-6320
Fax: (920) 532-6269
Type: Location
964 W RYAN ST
SUITE B
BRILLION, WI 541101517
Phone: (920) 756-2055
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $95.
Total Amount is formed as General ($95) + Research ($0) + Ownership ($0) = $95.
Last reported payment date: 2023-04-11 • Largest payer in this snapshot: Alexion Pharmaceuticals, Inc. ($95).
Total Amount
$95
General + Research + Ownership
Payments
1
Total payment records
General Amount
$95
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Alexion Pharmaceuticals, Inc. | $95 |
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: 2014-02-28
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 |
|---|---|---|---|---|
| I20140228001499 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 74 | 37 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 39 | 28 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 20 | 17 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 19 | 19 | $0 |
Insurance plans in this area (ZIP 54305)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Physical Therapist In Private Practice | WI | |
| - | WI | |
| - | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Nurse Practitioner | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Physical Therapist In Private Practice | WI |
Reviews
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