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EVAN JURGENSEN
NPI 1689556235
Physician Assistant in Milwaukee, WI

Active since July 24, 2025PECOS EnrolledAccepts Medicare Assignment
945 N 12TH ST, MILWAUKEE, WI 53233(414) 219-2000 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 28, 2026, Dec 30, 2025, Dec 16, 2025 (3 updates tracked since 2025).

About Evan Jurgensen NPPES

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

EVAN JURGENSEN (NPI 1689556235) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (8629) and active in the NPI registry since July 2025. The provider is enrolled in Medicare PECOS, maintains a secondary practice location in Milwaukee, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1689556235
Entity TypeIndividual
Primary Taxonomy363A00000X
Provider Legal NameEVAN JURGENSEN
Location Address945 N 12TH STMilwaukee, WI 53233-1305
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 219-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 24, 2025
Last NPPES UpdateJanuary 28, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
✔ NPI 1689556235 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 · 8629
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.
945 N 12TH ST, Milwaukee, WI 53233
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Secondary Practice Location 1

Location 1507 N 17th StMilwaukee, WI 53233-2104 · Phone (763) 350-3745

Other Identifiers 1

Medicaid100388562WI

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

Evan Jurgensen 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 ID8729570031
PECOS Enrollment IDI20251124004062
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 53233 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.

RICHARD COMPTON KURTZ II MD
Family Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-0000
MS. ANN M YOCKEY APNP
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-5800
SARAH E KRAEMER PA-C
Physician Assistant
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-6777
DR. ALINA M WINANS MD
Emergency Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-2000
MS. MORANDA MARIA MEDINA-LOPEZ RN
Registered Nurse
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-2000
XENAYSHMA ZHAYLEENE GNAS-PACHECO
Registered Nurse (Registered Nurse First Assistant)
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 000-0000
PROGRESSIVE COMMUNITY HEALTH CENTERS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
945 N 12TH ST, URGENT CARE
MILWAUKEE, WI 53233
Milwaukee County (414) 935-8000
JOSEPH SHAOUL
Anesthesiologist Assistant
945 N 12TH ST
MILWAUKEE, WI 53233
Milwaukee County (414) 219-2000

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 Evan Jurgensen's NPI number?

The NPI number for Evan Jurgensen is 1689556235. It was assigned to this individual provider in the NPPES registry on July 24, 2025.

Where is Evan Jurgensen located?

Evan Jurgensen practices at 945 N 12th St, Milwaukee, WI 53233. The listed phone number is (414) 219-2000.

What is Evan Jurgensen's specialty?

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

Is Evan Jurgensen enrolled in Medicare?

Yes. Evan Jurgensen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Evan Jurgensen was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.