MR. JARED WILLIAM KIERNICKI PA-C
NPI 1376883397
Physician Assistant in Green Bay, WI

Q: What is Jared Kiernicki's NPI number?

The NPI number for Jared Kiernicki is 1376883397. It was assigned to this individual provider in the NPPES registry on February 28, 2013.

Q: What is Jared Kiernicki's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jared Kiernicki was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 February 28, 2013PECOS EnrolledAccepts Medicare Assignment

1970 S RIDGE RD, GREEN BAY, WI 54304(920) 430-4888(920) 430-4889 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2021, Nov 26, 2019, May 9, 2019 and 2 more (5 updates tracked since 2017).

On this page

About Mr. Jared William Kiernicki Pa-c NPPES

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

MR. JARED WILLIAM KIERNICKI PA-C (NPI 1376883397) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (5235-23) and active in the NPI registry since February 2013. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1376883397

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. JARED WILLIAM KIERNICKICredential: PA-C

Location Address1970 S RIDGE RDGreen Bay, WI 54304-4125

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-2789

Phone(920) 430-4888

Fax(920) 430-4889

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 28, 2013

Last NPPES UpdateJune 2, 20215 updates tracked since enumeration

NPPES CertifiedJune 2, 2021

✔ NPI 1376883397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in WI · 5235-23✔ Licensed in IN · 10002329A✔ Licensed in KY · PA2286

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.

1970 S RIDGE RD, Green Bay, WI 54304

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Secondary Practice Locations 3

Location 14011 Gateway Blvd Ste 100Newburgh, IN 47630-8947 · Phone (812) 424-9291 · Fax (812) 421-2722

Location 25828 Pearl DrEvansville, IN 47712-8116 · Phone (812) 424-9291 · Fax (812) 421-2722

Location 310455 Orthopaedic DrNewburgh, IN 47630-7955 · Phone (812) 424-9291 · Fax (812) 421-2722

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) 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

Mr. Jared William Kiernicki Pa-c 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 ID1456626613

PECOS Enrollment IDI20201002002537

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 10

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

128 services19 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

42 services31 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

38 services33 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

31 services31 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

28 services19 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

21 services18 patients

Hospital Affiliations CMS Care Compare

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520049

Location744 S Webster AveGreen Bay, WI 54305 · Brown County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54304 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.

KRISTA M SOLAREK PA-C

Physician Assistant