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JERZY JAN ANDRZEJEWSKI
NPI 1093759391
Internal Medicine in Superior, WI

Active since June 16, 2006PECOS Enrolled
TWIN PORTS OUTPATIENT CLINIC, 3520 TOWER AVENUE, SUPERIOR, WI 54880(715) 392-9711 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jerzy Jan Andrzejewski NPPES

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

JERZY JAN ANDRZEJEWSKI (NPI 1093759391) is an individual internal medicine provider in Superior, Wisconsin, licensed in Wisconsin (45598-020) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093759391
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJERZY JAN ANDRZEJEWSKI
Location AddressTWIN PORTS OUTPATIENT CLINIC, 3520 TOWER AVENUESuperior, WI 54880
Mailing Address1625 Maple LnAshland, WI 54806-3768 · (715) 685-7500
Phone(715) 392-9711
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093759391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WI · 45598-020
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
TWIN PORTS OUTPATIENT CLINIC, Superior, WI 54880
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Other Identifiers 2

Medicare UPINH24860
Medicaid34423600WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerzy Jan Andrzejewski is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54880 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jerzy Andrzejewski's NPI number?

The NPI number for Jerzy Andrzejewski is 1093759391. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Jerzy Andrzejewski located?

Jerzy Andrzejewski practices at Twin Ports Outpatient Clinic 3520 Tower Avenue, Superior, WI 54880. The listed phone number is (715) 392-9711.

What is Jerzy Andrzejewski's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jerzy Andrzejewski enrolled in Medicare?

Yes. Jerzy Andrzejewski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerzy Andrzejewski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.