MRS. TRISHA A JACOX APNP
NPI 1689114712
Nurse Practitioner - Psychiatric/Mental Health in Tomah, WI

Q: What is Trisha Jacox's NPI number?

The NPI number for Trisha Jacox is 1689114712. It was assigned to this individual provider in the NPPES registry on March 8, 2017.

Q: What is Trisha Jacox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Trisha Jacox was last updated on April 3, 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.

Active since March 08, 2017PECOS Enrolled

500 E VETERANS ST, TOMAH, WI 54660(608) 372-3971 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 3, 2024, Nov 2, 2022 (2 updates tracked since 2022).

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About Mrs. Trisha A Jacox Apnp NPPES

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

MRS. TRISHA A JACOX APNP (NPI 1689114712) is an individual psychiatric/mental health provider in Tomah, Wisconsin, licensed in Wisconsin (12203-33) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689114712

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMRS. TRISHA A JACOXCredential: APNP

Location Address500 E VETERANS STTomah, WI 54660-3105

Mailing AddressN6520 Lumberjack Guy RdBlack River Falls, WI 54615-5405 · (715) 284-9851 · Fax (715) 284-5107

Phone(608) 372-3971

Sole ProprietorNo

Enumeration DateMarch 8, 2017

Last NPPES UpdateApril 3, 20242 updates tracked since enumeration

NPPES CertifiedApril 3, 2024

✔ NPI 1689114712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in WI · 12203-33

Also ListedRegistered NurseTaxonomy 163W00000X · License 200344-30 (WI)

500 E VETERANS ST, Tomah, WI 54660

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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)

Mrs. Trisha A Jacox Apnp 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 54660 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

$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.

MS. ANNE MARY WALLUS

Dietitian, Registered