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JEREMY KWOLEK
NPI 1346941465
Nurse Practitioner - Family in Saint Croix Falls, WI

Active since March 15, 2023PECOS EnrolledAccepts Medicare Assignment
235 E STATE ST, SAINT CROIX FALLS, WI 54024(715) 407-4197 Get Directions Write a Review

NPPES record last updated: March 15, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jeremy Kwolek NPPES

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

JEREMY KWOLEK (NPI 1346941465) is an individual family provider in Saint Croix Falls, Wisconsin, licensed in Wisconsin (13650) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with St Croix Regional Medical Center, and is a graduate of University Of South Alabama College Of Medicine (2022).

NPPES Registry Identity

NPI1346941465
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEREMY KWOLEK
Location Address235 E STATE STSaint Croix Falls, WI 54024-4117
Mailing Address235 E State StSaint Croix Falls, WI 54024-4117 · (715) 407-4197
Phone(715) 407-4197
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2022
Enumeration DateMarch 15, 2023
NPPES CertifiedMarch 15, 2023
✔ NPI 1346941465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 13650
235 E STATE ST, Saint Croix Falls, WI 54024
Open in Google Maps ↗

Accepted Insurance

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

Jeremy Kwolek 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 ID1355707613
PECOS Enrollment IDI20230512000269
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 Reassignment

Medicare enrollment records show Jeremy Kwolek reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Croix Regional Medical Center
Same address
Critical Access
235 STATE ST
Saint Croix Falls, WI 54024
  • Reassigned Medicare billing, Wisconsin enrollment
  • 453 clinicians in this Medicare group
NPI 1043240922 (715) 483-3221

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

St Croix Regional Medical Center

Critical Access Hospitals · Saint Croix Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521337
Location235 E State StreetSaint Croix Falls, WI 54024 · Polk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54024 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
$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.

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.

NANCY REYNOLDS HOPPE PTA
Physical Therapy Assistant
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 748-3221
SHAUN TERRANCE OKEEFE PAC, MPAS
Physician Assistant
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-3261
PHILLIP E PETROWITZ PTA
Physical Therapy Assistant
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-3221
COLLEEN E ERB PSY. D.
Psychologist
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-3221
DR. MICHAEL F TIFFANY DO
Obstetrics & Gynecology
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-3261
MUHAMMAD TALHA KHAN M.D.
Internal Medicine (Pulmonary Disease)
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-3221
CHRISTIE DELORIS SHELLY NP
Nurse Practitioner (Gerontology)
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Polk County (715) 483-3261
ALAURA MEISTER PHARMD
Pharmacist
235 E STATE ST
SAINT CROIX FALLS, WI 54024
Polk County (800) 828-3627

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 Jeremy Kwolek's NPI number?

The NPI number for Jeremy Kwolek is 1346941465. It was assigned to this individual provider in the NPPES registry on March 15, 2023.

Where is Jeremy Kwolek located?

Jeremy Kwolek practices at 235 E State St, Saint Croix Falls, WI 54024. The listed phone number is (715) 407-4197.

What is Jeremy Kwolek's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jeremy Kwolek enrolled in Medicare?

Yes. Jeremy Kwolek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jeremy Kwolek's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Kwolek reassigns Medicare benefits to St. Croix Regional Medical Center (Saint Croix Falls, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Kwolek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeremy Kwolek accept?

Health plans from Anthem Blue Cross and Blue Shield and HealthPartners list Jeremy Kwolek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jeremy Kwolek affiliated with any hospitals?

According to CMS data, Jeremy Kwolek is affiliated with St Croix Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jeremy Kwolek was last updated on March 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.