DR. JAKE S VACARELLA MD
NPI 1104986777
Pediatrics in Lake Geneva, WI

Active since December 12, 2006
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147(262) 245-0535 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jake S Vacarella Md NPPES

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

DR. JAKE S VACARELLA MD (NPI 1104986777) is an individual pediatrics provider in Lake Geneva, Wisconsin, licensed in Wisconsin (36724) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1104986777
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JAKE S VACARELLACredential: MD
Location AddressN2950 STATE ROAD 67Lake Geneva, WI 53147-2655
Mailing AddressN2950 State Road 67Lake Geneva, WI 53147-2655 · (262) 245-0535
Sole ProprietorNo
Enumeration DateDecember 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1104986777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in WI · 36724
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

N2950 STATE ROAD 67, Lake Geneva, WI 53147

Other Identifiers 2

Medicare UPINC76898
Medicaid32142800WI

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.

Counselor (Professional)
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Emergency Medicine
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Occupational Therapist
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Podiatrist
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Physical Therapist
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Pharmacist
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Emergency Medicine
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147
Physician Assistant
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147

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 Jake Vacarella's NPI number?

The NPI number for Jake Vacarella is 1104986777. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Jake Vacarella located?

Jake Vacarella practices at N2950 State Road 67, Lake Geneva, WI 53147. The listed phone number is (262) 245-0535.

What is Jake Vacarella's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Jake Vacarella was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.