JILLIAN PECHACEK
NPI 1033588074
Nurse Anesthetist, Certified Registered in Menomonie, WI
About Jillian Pechacek NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILLIAN PECHACEK (NPI 1033588074) is an individual nurse anesthetist, certified registered in Menomonie, Wisconsin, licensed in Wisconsin (6682) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in New Richmond.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jillian Pechacek is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Jillian Pechacek reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Menomonie, WI 54751
- Reassigned Medicare billing, Wisconsin enrollment
- Also billed through NPI 1154372944 (Wisconsin), NPI 1700837812 (Wisconsin), NPI 1740239557 (Wisconsin)
- 1,248 clinicians in this Medicare group
Spring Valley, WI 54767
- Reassigned Medicare billing, Wisconsin enrollment
- 211 clinicians in this Medicare group
Wabasha, MN 55981
- Reassigned Medicare billing, Minnesota enrollment
- 147 clinicians in this Medicare group
Saint Croix Falls, WI 54024
- Reassigned Medicare billing, Wisconsin enrollment
- 453 clinicians in this Medicare group
Blaine, MN 55449
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- 29 clinicians in this Medicare group
Plymouth, MN 55447
- Reassigned Medicare billing, Minnesota enrollment
- 1,033 clinicians in this Medicare group
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 1,003 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54751 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jillian Pechacek's NPI number?
The NPI number for Jillian Pechacek is 1033588074. It was assigned to this individual provider in the NPPES registry on September 21, 2015.
Where is Jillian Pechacek located?
Jillian Pechacek practices at 2321 Stout Road, Menomonie, WI 54751. The listed phone number is (715) 838-5222.
What is Jillian Pechacek's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Jillian Pechacek enrolled in Medicare?
Yes. Jillian Pechacek is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jillian Pechacek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jillian Pechacek reassigns Medicare benefits to 7 organizations: Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Menomonie, WI), Baldwin Area Medical Center Inc. (Spring Valley, WI), Saint Elizabeths Hospital Of Wabasha Inc (Wabasha, MN), St. Croix Regional Medical Center (Saint Croix Falls, WI), Twin Anesthesia LLC (Blaine, MN) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jillian Pechacek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jillian Pechacek was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jillian Pechacek · NPI 1033588074
Nurse Anesthetist, Certified Registered physician in Menomonie, Wisconsin. Individual provider, active in the CMS NPPES registry since September 21, 2015.
## Identity
- **NPI:** 1033588074 (Entity type: Individual)
- **Enumerated:** September 21, 2015
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 6682 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2321 STOUT ROAD, Menomonie, WI 54751-7003
- **Phone:** (715) 838-5222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (NPI 1235666967, Menomonie, WI); Baldwin Area Medical Center Inc. (NPI 1164272324, Spring Valley, WI); Saint Elizabeths Hospital Of Wabasha Inc (NPI 1053346825, Wabasha, MN); St. Croix Regional Medical Center (NPI 1043240922, Saint Croix Falls, WI); Twin Anesthesia LLC (NPI 1265105332, Blaine, MN); and 2 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1033588074) · Data from the CMS NPPES public registry.