JENNA M SPLAN D-PT
NPI 1518533868
Physical Therapist in De Pere, WI

Active since May 27, 2021Accepts Medicare Assignment
555 REDBIRD CIR, DE PERE, WI 54115(920) 338-6870(920) 338-6829 Get Directions Write a Review

NPPES record last updated: February 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2024, Sep 9, 2022, May 27, 2021 (3 updates tracked since 2021).

About Jenna M Splan D-pt NPPES

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

JENNA M SPLAN D-PT (NPI 1518533868) is an individual physical therapist in De Pere, Wisconsin, licensed in Wisconsin (15402-24) and active in the NPI registry since May 2021. She maintains 2 additional practice locations and is a graduate of Other (2021).

NPPES Registry Identity

NPI1518533868
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameJENNA M SPLANCredential: D-PT
Location Address555 REDBIRD CIRDe Pere, WI 54115-7977
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7210 · Fax (920) 445-7289
Fax(920) 338-6829
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 27, 2021
Last NPPES UpdateFebruary 7, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2024
NPI 1518533868 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in WI · 15402-24
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
555 REDBIRD CIR, De Pere, WI 54115

Other Names 1

Former Name (1)Jenna M Lukasik D-pt

Secondary Practice Locations 2

Location 1704 S Webster AveGreen Bay, WI 54301-3528 · Phone (920) 433-3410 · Fax (920) 433-3419
Location 2820 Arbutus AveOconto, WI 54153-2004 · Phone (920) 835-1100

Accepted 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

Jenna M Splan D-pt 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 ID5890195002
PECOS Enrollment IDI20210609002751

Areas of Expertise CMS Part B claims 2

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.

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
184 services27 patients
Evaluation for physical therapy, typically 30 minutes 97162
An evaluation for physical therapy is a 30-minute session where a physical therapist assesses your current physical condition. They'll examine your strength, flexibility, balance, and mobility to identify areas needing improvement. This helps tailor a therapy plan to your specific needs.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54115 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.

Internal Medicine
555 REDBIRD CIR, SUITE 300
DE PERE, WI 54115
Physical Therapist
555 REDBIRD CIR
DE PERE, WI 54115
Internal Medicine
555 REDBIRD CIR, SUITE 300
DE PERE, WI 54115
Clinic/Center (Mental Health (Including Community Mental Health Center))
555 REDBIRD CIR
DE PERE, WI 54115
Pediatrics
555 REDBIRD CIR, SUITE 200
DE PERE, WI 54115
Pediatrics
555 REDBIRD CIR
DE PERE, WI 54115
Physical Therapist
555 REDBIRD CIR
DE PERE, WI 54115
Internal Medicine
555 REDBIRD CIR
DE PERE, WI 54115

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 Jenna Splan's NPI number?

The NPI number for Jenna Splan is 1518533868. It was assigned to this individual provider in the NPPES registry on May 27, 2021. The provider is also known as Jenna M Lukasik D-Pt.

Where is Jenna Splan located?

Jenna Splan practices at 555 Redbird Cir, De Pere, WI 54115. The listed phone number is (920) 338-6870.

What is Jenna Splan's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Jenna Splan enrolled in Medicare?

Yes. Jenna Splan 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 Jenna Splan accept?

Health plans from CareSource (Common Ground Healthcare) list Jenna Splan 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.

When was this NPI record last updated?

The NPPES record for Jenna Splan was last updated on February 7, 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.