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JENESSA MARIE MAYER PA-C
NPI 1477074144
Physician Assistant in Sheboygan, WI

Active since July 03, 2017Opted out of Medicare · through Apr 18, 2027
W1030 LUELLOFF RD, SHEBOYGAN, WI 53083(920) 207-3802(920) 214-1073 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2025, Dec 7, 2022, Jul 3, 2017 (3 updates tracked since 2017).

About Jenessa Marie Mayer Pa-c NPPES

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

JENESSA MARIE MAYER PA-C (NPI 1477074144) is an individual physician assistant in Sheboygan, Wisconsin, licensed in Maryland (C0008549) and active in the NPI registry since July 2017. She has opted out of Medicare through April 18, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1477074144
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENESSA MARIE MAYERCredential: PA-C
Location AddressW1030 LUELLOFF RDSheboygan, WI 53083-5148
Mailing Address1320 S 1st St Unit 327Milwaukee, WI 53204-2477 · (920) 207-3802
Phone(920) 207-3802
Fax(920) 214-1073
Sole ProprietorNo
Enumeration DateJuly 3, 2017
Last NPPES UpdateAugust 13, 20253 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1477074144 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 MD · C0008549✔ Licensed in WI · 4046-23
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.
W1030 LUELLOFF RD, Sheboygan, WI 53083
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jenessa Marie Mayer Pa-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 18, 2025 through April 18, 2027.

Opt-Out Effective DateApril 18, 2025
Opt-Out In Effect ThroughApril 18, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53083 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.

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 Jenessa Mayer's NPI number?

The NPI number for Jenessa Mayer is 1477074144. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Where is Jenessa Mayer located?

Jenessa Mayer practices at W1030 Luelloff Rd, Sheboygan, WI 53083. The listed phone number is (920) 207-3802.

What is Jenessa Mayer's specialty?

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

Is Jenessa Mayer enrolled in Medicare?

No. Jenessa Mayer has opted out of Medicare through April 18, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jenessa Mayer was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.