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JENNIFER BLACK PAC
NPI 1164462792
Physician Assistant in Merrill, WI

Active since June 08, 2006
601 S CENTER AVE, MERRILL, WI 54452(715) 536-5511 Get Directions Write a Review

NPPES record last updated: April 20, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Jennifer Black Pac NPPES

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

JENNIFER BLACK PAC (NPI 1164462792) is an individual physician assistant in Merrill, Wisconsin, licensed in Wisconsin (1910) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1164462792
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER BLACKCredential: PAC
Location Address601 S CENTER AVEMerrill, WI 54452-3404
Mailing Address411 Westwood DrWausau, WI 54401-4152 · (715) 847-2558 · Fax (715) 847-2557
Phone(715) 536-5511
Sole ProprietorNo
Enumeration DateJune 8, 2006
Last NPPES UpdateApril 20, 2017
✔ NPI 1164462792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 1910
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
601 S CENTER AVE, Merrill, WI 54452
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Other Identifiers 1

Other1910WI · Wi State Lic

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.

DR. JENNIFER LIND FREYER DDS
Dentist
601 S CENTER AVE
MERRILL, WI 54452
Lincoln County (715) 539-8181
DEBRA KAY ZUELSDORFF PTA
Physical Therapy Assistant
601 S CENTER AVE
MERRILL, WI 54452
Lincoln County (715) 539-2466
MRS. ALISA KATHLEEN JOHNSON M.D.
Radiology (Diagnostic Radiology)
601 S CENTER AVE
MERRILL, WI 54452
Lincoln County (262) 338-6176
STEVEN GASPER CRNA
Nurse Anesthetist, Certified Registered
601 S CENTER AVE
MERRILL, WI 54452
Lincoln County (715) 539-5136
ROBYN A SCHERTZ M.D.
Emergency Medicine
601 S CENTER AVE
MERRILL, WI 54452
Lincoln County (715) 536-5511
DIONNA MARIE PENDLETON M.D.
Family Medicine
601 S CENTER AVE
MERRILL, WI 54452
Lincoln County (715) 539-2350
ASPIRUS MERRILL HOSPITAL & CLINICS, INC.
General Acute Care Hospital (Critical Access)
601 S CENTER AVE
MERRILL, WI 54452
Lincoln County (715) 536-5511
STEVE PETER DAIGLE PA-C
Physician Assistant
601 S CENTER AVE
MERRILL, WI 54452
Lincoln County (715) 539-5160

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 Jennifer Black's NPI number?

The NPI number for Jennifer Black is 1164462792. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Jennifer Black located?

Jennifer Black practices at 601 S Center Ave, Merrill, WI 54452. The listed phone number is (715) 536-5511.

What is Jennifer Black's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Jennifer Black was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.