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JONATHAN K JANDRIN MSN, FNP-C
NPI 1538460175
Nurse Practitioner in Kaukauna, WI

Active since November 13, 2010PECOS EnrolledAccepts Medicare Assignment
1500 ARBOR WAY, KAUKAUNA, WI 54130(920) 766-3200 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2026, Oct 3, 2023, Jan 31, 2023 and 2 more (5 updates tracked since 2022).

About Jonathan K Jandrin Msn, Fnp-c NPPES

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

JONATHAN K JANDRIN MSN, FNP-C (NPI 1538460175) is an individual nurse practitioner in Kaukauna, Wisconsin, licensed in Wisconsin (13440) and active in the NPI registry since November 2010. He is enrolled in Medicare PECOS, is affiliated with Aurora Baycare Medical Ctr, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1538460175
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJONATHAN K JANDRINCredential: MSN, FNP-C
Location Address1500 ARBOR WAYKaukauna, WI 54130-7305
Mailing AddressPo Box 735044Chicago, IL 60673-5044
Phone(920) 766-3200
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 13, 2010
Last NPPES UpdateJanuary 26, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1538460175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 13440
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1500 ARBOR WAY, Kaukauna, WI 54130
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Other Identifiers 1

Medicaid100227220WI

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jonathan K Jandrin Msn, Fnp-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 ID7618349242
PECOS Enrollment IDI20230208002063
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 Reassignments

3

Medicare enrollment records show Jonathan Jandrin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Baycare Clinic LLP
20 mi
Emergency Medicine
2845 GREENBRIER RD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 275 clinicians in this Medicare group
NPI 1588609648 (920) 288-8000
Baycare Aurora, LLC
21 mi
General Acute Care Hospital
2845 GREENBRIER RD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 394 clinicians in this Medicare group
NPI 1255387726 (920) 288-8000
Aurora Medical Group, Inc.
46 mi
Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
NPI 1174670244 (920) 457-4461

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
55 services34 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.
37 services30 patients

Hospital Affiliations CMS Care Compare

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

Aurora Baycare Medical Ctr

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number520193
Location2845 Greenbrier RdGreen Bay, WI 54311 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54130 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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAMZA SHAHRAN MD
Internal Medicine (Nephrology)
1500 ARBOR WAY
KAUKAUNA, WI 54130
Outagamie County (920) 766-3200
CARLY L VOLP PT
Physical Therapist
1500 ARBOR WAY
KAUKAUNA, WI 54130
Outagamie County (920) 288-8377
DR. NELS J ROSE D.O.
Emergency Medicine
1500 ARBOR WAY
KAUKAUNA, WI 54130
Outagamie County (920) 372-7300
CARLY KATHRYN JUSTICE OT
Occupational Therapist
1500 ARBOR WAY
KAUKAUNA, WI 54130
Outagamie County (920) 327-7200
DR. KRISTIN L HACKBARTH D.C.
Chiropractor
1500 ARBOR WAY
KAUKAUNA, WI 54130
Outagamie County (920) 766-3200
BAYCARE CLINIC, LLP
Durable Medical Equipment & Medical Supplies
1500 ARBOR WAY
KAUKAUNA, WI 54130
Outagamie County (920) 490-9046
MORGAN L VANDERLOOP LPC
Counselor (Mental Health)
1500 ARBOR WAY
KAUKAUNA, WI 54130
Outagamie County (920) 766-3200
BRANDON THOMAS SEGUIN DO
Family Medicine
1500 ARBOR WAY
KAUKAUNA, WI 54130
Outagamie County (920) 766-3200

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 Jonathan Jandrin's NPI number?

The NPI number for Jonathan Jandrin is 1538460175. It was assigned to this individual provider in the NPPES registry on November 13, 2010.

Where is Jonathan Jandrin located?

Jonathan Jandrin practices at 1500 Arbor Way, Kaukauna, WI 54130. The listed phone number is (920) 766-3200.

What is Jonathan Jandrin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Jonathan Jandrin enrolled in Medicare?

Yes. Jonathan Jandrin 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 organizations bill Medicare for Jonathan Jandrin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Jandrin reassigns Medicare benefits to 3 organizations: Baycare Clinic LLP (Green Bay, WI), Baycare Aurora, LLC (Green Bay, WI) and Aurora Medical Group, Inc. (Sheboygan, WI). Each 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 Jonathan Jandrin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Jandrin accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Jonathan Jandrin 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 Jonathan Jandrin affiliated with any hospitals?

According to CMS data, Jonathan Jandrin is affiliated with Aurora Baycare Medical Ctr.

When was this NPI record last updated?

The NPPES record for Jonathan Jandrin was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.