MACY SUE JACKAN OTR
NPI 1609681311
Occupational Therapist in Wisconsin Rapids, WI

Active since February 10, 2025
1041 HILL ST, WISCONSIN RAPIDS, WI 54494(715) 424-8500(715) 424-8502 Get Directions Write a Review

NPPES record last updated: February 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Macy Sue Jackan Otr NPPES

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

MACY SUE JACKAN OTR (NPI 1609681311) is an individual occupational therapist in Wisconsin Rapids, Wisconsin and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1609681311
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMACY SUE JACKANCredential: OTR
Location Address1041 HILL STWisconsin Rapids, WI 54494-5202
Mailing Address1041 Hill StWisconsin Rapids, WI 54494-5202
Fax(715) 424-8502
Sole ProprietorNo
Enumeration DateFebruary 10, 2025
NPPES CertifiedFebruary 10, 2025
✔ NPI 1609681311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
1041 HILL ST, Wisconsin Rapids, WI 54494

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Macy Sue Jackan Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Macy Jackan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health
420 DEWEY ST
Wisconsin Rapids, WI 54494
  • Reassigned Medicare billing, Wisconsin enrollment
  • 397 clinicians in this Medicare group

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

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.

Speech-Language Pathologist
1041 HILL ST
WISCONSIN RAPIDS, WI 54494
Specialist/Technologist (Athletic Trainer)
1041 HILL ST
WISCONSIN RAPIDS, WI 54494
Physical Therapy Assistant
1041 HILL ST
WISCONSIN RAPIDS, WI 54494
Occupational Therapist
1041 HILL ST
WISCONSIN RAPIDS, WI 54494
Physical Therapist
1041 HILL ST
WISCONSIN RAPIDS, WI 54494
Specialist/Technologist (Athletic Trainer)
1041 HILL ST
WISCONSIN RAPIDS, WI 54494
Physical Therapist
1041 HILL ST
WISCONSIN RAPIDS, WI 54494
Occupational Therapist
1041 HILL ST
WISCONSIN RAPIDS, WI 54494

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 Macy Jackan's NPI number?

The NPI number for Macy Jackan is 1609681311. It was assigned to this individual provider in the NPPES registry on February 10, 2025.

Where is Macy Jackan located?

Macy Jackan practices at 1041 Hill St, Wisconsin Rapids, WI 54494. The listed phone number is (715) 424-8500.

What is Macy Jackan's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Macy Jackan enrolled in Medicare?

Yes. Macy Jackan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Macy Jackan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Macy Jackan reassigns Medicare benefits to Aspirus Riverview Hospital & Clinics, Inc. (Wisconsin Rapids, WI). The 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 Macy Jackan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Macy Jackan was last updated on February 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.