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DR. ERIC L. JENISON M.D.
NPI 1669477071
Obstetrics & Gynecology - Gynecologic Oncology in Green Bay, WI

Active since June 14, 2005PECOS Enrolled
704 S WEBSTER AVE, SUITE 100, GREEN BAY, WI 54301(920) 433-3430(920) 432-6313 Get Directions Write a Review

NPPES record last updated: September 18, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Eric L. Jenison M.d. NPPES

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

DR. ERIC L. JENISON M.D. (NPI 1669477071) is an individual gynecologic oncology provider in Green Bay, Wisconsin, licensed in Wisconsin (59856) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669477071
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameDR. ERIC L. JENISONCredential: M.D.
Location Address704 S WEBSTER AVE, SUITE 100Green Bay, WI 54301-3528
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7210 · Fax (920) 445-7289
Phone(920) 433-3430
Fax(920) 432-6313
Sole ProprietorNo
Enumeration DateJune 14, 2005
Last NPPES UpdateSeptember 18, 2014
✔ NPI 1669477071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in WI · 59856
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 038252 (OH)
704 S WEBSTER AVE, Green Bay, WI 54301
Open in Google Maps ↗

Other Identifiers 5

Medicaid1669477071WI
Medicare UPINC01245OH
Medicaid0288531OR
Medicare PINJE0415694OH
Medicare OSCAR/certification000000215WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eric L. Jenison M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
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 20

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

NEW DERMATOLOGY GROUP LTD
Dermatology
704 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 965-0345
GENERAL VASCULAR SURGERY OF GREEN BAY SC
Surgery (Vascular Surgery)
704 S WEBSTER AVE, SUITE 15
GREEN BAY, WI 54301
Brown County (920) 433-7463
SARAH ANN PIERRE PAC
Nurse Practitioner (Obstetrics & Gynecology)
704 S WEBSTER AVE, OBGYN ASSOCIATES OF GREEN BAY LTD
GREEN BAY, WI 54301
Brown County (920) 468-3443
REBECCA P VAN MILLER D.D.S.
Dentist (General Practice)
704 S WEBSTER AVE, SUITE 402
GREEN BAY, WI 54301
Brown County (920) 435-6894
BELLIN MEMORIAL HOSPITAL INC
Internal Medicine (Infectious Disease)
704 S WEBSTER AVE, SUITE 501
GREEN BAY, WI 54301
Brown County (920) 445-7226
MICHELLE LYN MINIKEL MD
Family Medicine
704 S WEBSTER AVE, SUITE 200
GREEN BAY, WI 54301
Brown County (920) 433-3456
BART J MILLER PA
Physician Assistant
704 S WEBSTER AVE, STE 100
GREEN BAY, WI 54301
Brown County (920) 433-3456
MRS. LORI L HARTZ MS, RD
Dietitian, Registered
704 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 433-3456

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 Eric Jenison's NPI number?

The NPI number for Eric Jenison is 1669477071. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Eric Jenison located?

Eric Jenison practices at 704 S Webster Ave Suite 100, Green Bay, WI 54301. The listed phone number is (920) 433-3430.

What is Eric Jenison's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Eric Jenison enrolled in Medicare?

Yes. Eric Jenison is registered in the Medicare PECOS enrollment system.

What insurance does Eric Jenison accept?

Health plans from CareSource list Eric Jenison 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.

When was this NPI record last updated?

The NPPES record for Eric Jenison was last updated on September 18, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.