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JACLYN R MONTEVERDE PA
NPI 1568090884
Physician Assistant - Medical in Fond Du Lac, WI

Active since March 31, 2020PECOS Enrolled
95.03/100
CMS Quality Rating
430 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-4600 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2020, Jun 30, 2020, Mar 31, 2020 (3 updates tracked since 2020).

About Jaclyn R Monteverde Pa NPPES

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

JACLYN R MONTEVERDE PA (NPI 1568090884) is an individual medical provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (5090-23) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Madison.

NPPES Registry Identity

NPI1568090884
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJACLYN R MONTEVERDECredential: PA
Location Address430 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address430 E Division StFond Du Lac, WI 54935-4560
Phone(920) 926-4600
Sole ProprietorNo
Enumeration DateMarch 31, 2020
Last NPPES UpdateNovember 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 26, 2020
✔ NPI 1568090884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WI · 5090-23
430 E DIVISION ST, Fond Du Lac, WI 54935
Open in Google Maps ↗

Secondary Practice Location 1

Location 1750 Highland AveMadison, WI 53705-2221 · Phone (608) 263-5620

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn R Monteverde Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.
85 services81 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.
55 services51 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.
41 services39 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.47
Improvement Activities40
Cost82.55

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.

CLAIRE ELIZABETH KRIZMAN
Counselor (Mental Health)
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (310) 880-8864
MICHAEL FABER PHARMD
Pharmacist (Pharmacotherapy)
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-4664
JACQUELINE S LEMMENES CST
Specialist/Technologist, Other
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-2300
ANN M CAPPELLARI M.D.
Emergency Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-2300
KERRY A WINGET SLP
Speech-Language Pathologist
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 923-5378
BALVINDAR S SAREEN MD
Internal Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (315) 637-7800
CHRISTY CHANG APNP
Nurse Practitioner
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8200
MARY LAUSCH ARRIGONI CRNA
Nurse Anesthetist, Certified Registered
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-5942

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 Jaclyn Monteverde's NPI number?

The NPI number for Jaclyn Monteverde is 1568090884. It was assigned to this individual provider in the NPPES registry on March 31, 2020.

Where is Jaclyn Monteverde located?

Jaclyn Monteverde practices at 430 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 926-4600.

What is Jaclyn Monteverde's specialty?

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

Is Jaclyn Monteverde enrolled in Medicare?

Yes. Jaclyn Monteverde is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaclyn Monteverde was last updated on November 27, 2023. 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.