TYLER JESSEL PA-C
NPI 1649924358
Physician Assistant in Green Bay, WI

Q: What is Tyler Jessel's NPI number?

The NPI number for Tyler Jessel is 1649924358. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Q: What is Tyler Jessel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tyler Jessel was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since February 10, 2022PECOS EnrolledAccepts Medicare Assignment

2845 GREENBRIER RD, GREEN BAY, WI 54311(920) 288-8000 Get Directions Write a Review

NPPES record last updated: December 1, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Dec 1, 2025, Nov 10, 2025, Feb 20, 2025 and 1 more (4 updates tracked since 2022).

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About Tyler Jessel Pa-c NPPES

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

TYLER JESSEL PA-C (NPI 1649924358) is an individual physician assistant in Green Bay, Wisconsin, licensed in Wisconsin (7716-23) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS, is affiliated with Aurora Baycare Medical Ctr, and maintains a secondary practice location in Green Bay.

NPPES Registry Identity

NPI1649924358

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTYLER JESSELCredential: PA-C

Location Address2845 GREENBRIER RDGreen Bay, WI 54311-6519

Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250

Phone(920) 288-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 10, 2022

Last NPPES UpdateDecember 1, 20254 updates tracked since enumeration

NPPES CertifiedDecember 1, 2025

✔ NPI 1649924358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 7716-23

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2845 GREENBRIER RD, Green Bay, WI 54311

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Secondary Practice Location 1

Location 12851 University AveGreen Bay, WI 54311-5855 · Phone (920) 431-2500

Other Identifiers 1

Medicaid100375807WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).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

Tyler Jessel Pa-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 ID941705867

PECOS Enrollment IDI20250923002389

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.

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 54311 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.

AMRITHA CHANDRAHASA KARKERA M.D.

Internal Medicine (Hematology & Oncology)