DR. JENNIFER A MCLELLAN M.D.
NPI 1164620480
Surgery in Prairie Du Chien, WI

Q: What is Jennifer Mclellan's NPI number?

The NPI number for Jennifer Mclellan is 1164620480. It was assigned to this individual provider in the NPPES registry on July 8, 2007.

Q: What is Jennifer Mclellan's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Mclellan was last updated on March 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 08, 2007PECOS EnrolledAccepts Medicare Assignment

610 E TAYLOR ST, PRAIRIE DU CHIEN, WI 53821(608) 326-6466 Get Directions Write a Review

NPPES record last updated: March 24, 2014. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Dr. Jennifer A Mclellan M.d. NPPES

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

DR. JENNIFER A MCLELLAN M.D. (NPI 1164620480) is an individual surgery provider in Prairie Du Chien, Wisconsin, licensed in Wisconsin (61061) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of University Of Colorado School Of Medicine, Denver (2007).

NPPES Registry Identity

NPI1164620480

Entity TypeIndividualFemale

Primary Taxonomy208600000X

Provider Legal NameDR. JENNIFER A MCLELLANCredential: M.D.

Location Address610 E TAYLOR STPrairie Du Chien, WI 53821-2109

Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300

Phone(608) 326-6466

Sole ProprietorNo

Medical School CMSUniversity Of Colorado School Of Medicine, DenverGraduated 2007

Enumeration DateJuly 8, 2007

Last NPPES UpdateMarch 24, 2014

✔ NPI 1164620480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Licenses✔ Licensed in WI · 61061✔ Licensed in MI · 4301090378✔ Licensed in MA · 250712✔ Licensed in IA · 41119

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

610 E TAYLOR ST, Prairie Du Chien, WI 53821

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jennifer A Mclellan M.d. 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 ID4284881426

PECOS Enrollment IDI20191203001954

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.

Medicare Billing Reassignments

Medicare enrollment records show Jennifer Mclellan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Gundersen Clinic, Ltd.

Same address

Clinic/Center

610 E TAYLOR ST
Prairie Du Chien, WI 53821

Reassigned Medicare billing, Wisconsin enrollment
928 clinicians in this Medicare group

NPI 1972554590 (608) 782-7300

Memorial Hospital Of Boscobel

23 mi

Critical Access

205 PARKER ST
Boscobel, WI 53805

Reassigned Medicare billing, Wisconsin enrollment
299 clinicians in this Medicare group

NPI 1306804794 (608) 375-4112

Tri-County Memorial Hospital, Inc.

86 mi

Rural Health

420 S PETERSON AVE
Blair, WI 54616

Reassigned Medicare billing, Wisconsin enrollment
293 clinicians in this Medicare group

NPI 1659625192 (608) 989-2505

Rural Physicians Group - Pannu PLLC

645 mi

Hospitalist

615 FAIRHURST ST
Sterling, CO 80751

Reassigned Medicare billing, Colorado enrollment
76 clinicians in this Medicare group

NPI 1417538539 (303) 390-1924

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 53821 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

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

WALTER R BOISVERT MD

Family Medicine