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JENNIFER GUNDERSON
NPI 1366175986
Physician Assistant - Medical in Beloit, WI

Active since July 01, 2022PECOS EnrolledAccepts Medicare Assignment
1969 W HART RD, BELOIT, WI 53511(608) 364-5011 Get Directions Write a Review

NPPES record last updated: January 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jennifer Gunderson NPPES

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

JENNIFER GUNDERSON (NPI 1366175986) is an individual medical provider in Beloit, Wisconsin, licensed in Wisconsin (7374-23) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with Fort Memorial Hospital, and is a graduate of University Of Wisconsin School Of Medicine (2023).

NPPES Registry Identity

NPI1366175986
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJENNIFER GUNDERSON
Location Address1969 W HART RDBeloit, WI 53511-2230
Mailing AddressPo Box 431Janesville, WI 53547-0431 · (405) 696-7932
Phone(608) 364-5011
Sole ProprietorYes
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2023
Enumeration DateJuly 1, 2022
Last NPPES UpdateJanuary 30, 2024
NPPES CertifiedJanuary 30, 2024
✔ NPI 1366175986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WI · 7374-23
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1969 W HART RD, Beloit, WI 53511
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW.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 Gunderson 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 ID8729447685
PECOS Enrollment IDI20230710003490, I20260312000724
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
49 services46 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
28 services28 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Fort Memorial Hospital

Acute Care Hospitals · Fort Atkinson, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520071
Location611 Sherman Ave EFort Atkinson, WI 53538 · Jefferson County
Emergency services Birthing friendly

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

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. USMAN SARWAR M.D.
Internal Medicine (Cardiovascular Disease)
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5011
JESSICA M. FRANTZ CCC/SLP
Speech-Language Pathologist
1969 W HART RD, BELOIT HEALTH SYSTEM INC/ BELOIT MEMORIAL HOSPITAL
BELOIT, WI 53511
Rock County (608) 364-5695
MRS. CAROL J KATROSCIK MSW LCSW
Social Worker (Clinical)
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5686
MRS. SALLY J GREER MS LPC
Counselor (Professional)
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5686
YEHIA A. KHOGA MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5686
MIGUEL A JIMENEZ MD
Radiology (Diagnostic Radiology)
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5269
STACY HEITZ PA-C
Physician Assistant
1969 W HART RD
BELOIT, WI 53511
Rock County (608) 364-5011
STEVEN STEPHEN CHOUNG MD
Anesthesiology
1969 W HART RD, BELOIT MEMORIAL HOSPITAL
BELOIT, WI 53511
Rock County (608) 362-7444

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 Gunderson's NPI number?

The NPI number for Jennifer Gunderson is 1366175986. It was assigned to this individual provider in the NPPES registry on July 1, 2022.

Where is Jennifer Gunderson located?

Jennifer Gunderson practices at 1969 W Hart Rd, Beloit, WI 53511. The listed phone number is (608) 364-5011.

What is Jennifer Gunderson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jennifer Gunderson enrolled in Medicare?

Yes. Jennifer Gunderson 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.

What insurance does Jennifer Gunderson accept?

Health plans from Anthem Blue Cross and Blue Shield and Group Health Cooperative-SCW list Jennifer Gunderson 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 Jennifer Gunderson affiliated with any hospitals?

According to CMS data, Jennifer Gunderson is affiliated with Fort Memorial Hospital and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Gunderson was last updated on January 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.