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JACQUELINE LEE BOGAN D.O.
NPI 1073856761
Anesthesiology in Fond Du Lac, WI

Active since April 01, 2013PECOS EnrolledAccepts Medicare Assignment
430 E DIVISION ST, FOND DU LAC, WI 54935(920) 929-2300(608) 262-6247 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2020, Jul 24, 2018, Jun 6, 2017 (3 updates tracked since 2017).

About Jacqueline Lee Bogan D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE LEE BOGAN D.O. (NPI 1073856761) is an individual anesthesiology provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (67077) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with St. Agnes Hospital Hospice, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2013).

NPPES Registry Identity

NPI1073856761
Entity TypeIndividualFemale
Primary Taxonomy207L00000X
Provider Legal NameJACQUELINE LEE BOGANCredential: D.O.
Location Address430 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address420 E Division StFond Du Lac, WI 54935-4560
Phone(920) 929-2300
Fax(608) 262-6247
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2013
Enumeration DateApril 1, 2013
Last NPPES UpdateNovember 2, 20203 updates tracked since enumeration
NPPES CertifiedNovember 2, 2020
✔ NPI 1073856761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in WI · 67077
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
430 E DIVISION ST, Fond Du Lac, WI 54935
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Lee Bogan D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618109836
PECOS Enrollment IDI20170516000113
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
26 services26 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
18 services18 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
14 services14 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St. Agnes Hospital Hospice

Acute Care Hospitals · Fond Du Lac, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520088
Location430 E Division StFond Du Lac, WI 54935 · Fond Du Lac County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLAIRE ELIZABETH KRIZMAN
Counselor (Mental Health)
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (310) 880-8864
MICHAEL FABER PHARMD
Pharmacist (Pharmacotherapy)
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-4664
JACQUELINE S LEMMENES CST
Specialist/Technologist, Other
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-2300
ANN M CAPPELLARI M.D.
Emergency Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-2300
KERRY A WINGET SLP
Speech-Language Pathologist
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 923-5378
BALVINDAR S SAREEN MD
Internal Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (315) 637-7800
CHRISTY CHANG APNP
Nurse Practitioner
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8200
MARY LAUSCH ARRIGONI CRNA
Nurse Anesthetist, Certified Registered
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-5942

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 Jacqueline Bogan's NPI number?

The NPI number for Jacqueline Bogan is 1073856761. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Jacqueline Bogan located?

Jacqueline Bogan practices at 430 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 929-2300.

What is Jacqueline Bogan's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Jacqueline Bogan enrolled in Medicare?

Yes. Jacqueline Bogan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jacqueline Bogan affiliated with any hospitals?

According to CMS data, Jacqueline Bogan is affiliated with St. Agnes Hospital Hospice.

When was this NPI record last updated?

The NPPES record for Jacqueline Bogan was last updated on November 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.