JACQUELINE A VAN MANEN DO
NPI 1568570521
Family Medicine in Onalaska, WI
About Jacqueline A Van Manen Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACQUELINE A VAN MANEN DO (NPI 1568570521) is an individual family medicine provider in Onalaska, Wisconsin, licensed in Wisconsin (49529) and active in the NPI registry since August 2006. She has opted out of Medicare through April 1, 2027 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jacqueline A Van Manen Do 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 1, 2023 through April 1, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54650 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ONALASKA, WI 54650
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 Jacqueline Van Manen's NPI number?
The NPI number for Jacqueline Van Manen is 1568570521. It was assigned to this individual provider in the NPPES registry on August 29, 2006.
Where is Jacqueline Van Manen located?
Jacqueline Van Manen practices at 191 Theater Road, Onalaska, WI 54650. The listed phone number is (608) 392-5005.
What is Jacqueline Van Manen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jacqueline Van Manen enrolled in Medicare?
No. Jacqueline Van Manen has opted out of Medicare through April 1, 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 Jacqueline Van Manen was last updated on January 29, 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.
# Jacqueline A Van Manen, DO · NPI 1568570521
Family Medicine physician in Onalaska, Wisconsin. Individual provider, active in the CMS NPPES registry since August 29, 2006.
## Identity
- **NPI:** 1568570521 (Entity type: Individual)
- **Enumerated:** August 29, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 49529 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 191 THEATER ROAD, Onalaska, WI 54650-8679
- **Phone:** (608) 392-5005 · **Fax:** (608) 392-5792
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 1, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** January 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1568570521) · Data from the CMS NPPES public registry.