JENNIFER REBECCA ENMAN-BOURGON D.O.
NPI 1265789572
Obstetrics & Gynecology in Wisconsin Rapids, WI

Q: What is Jennifer Enman-bourgon's NPI number?

The NPI number for Jennifer Enman-bourgon is 1265789572. It was assigned to this individual provider in the NPPES registry on August 7, 2012.

Q: What is Jennifer Enman-bourgon's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since August 07, 2012PECOS EnrolledAccepts Medicare Assignment

90.59/100

CMS Quality Rating

410 DEWEY ST, WISCONSIN RAPIDS, WI 54494(715) 423-6060 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 18, 2023, Sep 10, 2020 (2 updates tracked since 2020).

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About Jennifer Rebecca Enman-bourgon D.o. NPPES

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

JENNIFER REBECCA ENMAN-BOURGON D.O. (NPI 1265789572) is an individual obstetrics & gynecology provider in Wisconsin Rapids, Wisconsin, licensed in Wisconsin (73626-21) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Aberdeen, and maintains a secondary practice location in Aberdeen.

NPPES Registry Identity

NPI1265789572

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameJENNIFER REBECCA ENMAN-BOURGONCredential: D.O.

Location Address410 DEWEY STWisconsin Rapids, WI 54494-4715

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(715) 423-6060

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 7, 2012

Last NPPES UpdateFebruary 26, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2026

✔ NPI 1265789572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in WI · 73626-21✔ Licensed in IN · 020045038

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

410 DEWEY ST, Wisconsin Rapids, WI 54494

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Secondary Practice Location 1

Location 13015 3rd Ave SEAberdeen, SD 57401-5418 · Phone (605) 226-5500

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.Insurance ›

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

Jennifer Rebecca Enman-bourgon 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 ID1355589243

PECOS Enrollment IDI20201009000890, I20260312002725

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 6

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

690 services444 patients

Dxa bone density measurement of hip, pelvis, spine 77080

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

121 services121 patients

Screening mammography 77067

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

80 services80 patients

Screening 3d breast mammography 77063

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

79 services79 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

31 services27 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

26 services25 patients

Hospital Affiliations CMS Care Compare 2

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

Sanford Medical Center Aberdeen

Acute Care Hospitals · Aberdeen, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430097

Location2905 3rd Ave SEAberdeen, SD 57402 · Brown County

Emergency services Birthing friendly

Aspirus Riverview Hospital & Clinics Inc

Acute Care Hospitals · Wisconsin Rapids, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520033

Location410 Dewey StWisconsin Rapids, WI 54495 · Wood County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54494 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

$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

94.26

Promoting Interoperability

100

Improvement Activities

Cost

67.03

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.

MRS. TAMMY LYNN REICHENBACHER LAT

Specialist/Technologist (Athletic Trainer)