JENNA K PROVANCE PA-C
NPI 1699295626
Physician Assistant in Sheboygan, WI

Active since June 21, 2017PECOS EnrolledAccepts Medicare Assignment
2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI 53081(920) 457-4461 Get Directions Write a Review

NPPES record last updated: December 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 1, 2021, Aug 1, 2017, Jun 21, 2017 (3 updates tracked since 2017).

About Jenna K Provance Pa-c NPPES

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

JENNA K PROVANCE PA-C (NPI 1699295626) is an individual physician assistant in Sheboygan, Wisconsin, licensed in Wisconsin (4027-23) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Aurora Health Care Central Inc, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1699295626
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNA K PROVANCECredential: PA-C
Location Address2414 KOHLER MEMORIAL DRSheboygan, WI 53081-3129
Mailing Address2414 W Kohler Memorial DrSheboygan, WI 53081 · (920) 457-4461 · Fax (920) 459-1483
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 21, 2017
Last NPPES UpdateDecember 1, 20213 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
NPI 1699295626 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 · 4027-23
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.

2414 KOHLER MEMORIAL DR, Sheboygan, WI 53081

Other Names 1

Former Name (1)Jenna K Horomanski

Other Identifiers 2

Medicaid1699295626WI
OtherK400398570WI · Medicare

Accepted 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

Jenna K Provance 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 ID3870863558
PECOS Enrollment IDI20170728001017
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
118 services99 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
64 services56 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853
Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.
15 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aurora Health Care Central Inc

Acute Care Hospitals · Sheboygan, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520035
Location3400 Union AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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.

Physical Therapist
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Optometrist
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Nurse Practitioner
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Nurse Practitioner (Psychiatric/Mental Health)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Internal Medicine (Pulmonary Disease)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Registered Nurse (Diabetes Educator)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Family Medicine
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081
Radiology (Diagnostic Radiology)
2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081

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 Jenna Provance's NPI number?

The NPI number for Jenna Provance is 1699295626. It was assigned to this individual provider in the NPPES registry on June 21, 2017. The provider is also known as Jenna K Horomanski.

Where is Jenna Provance located?

Jenna Provance practices at 2414 Kohler Memorial Dr, Sheboygan, WI 53081. The listed phone number is (920) 457-4461.

What is Jenna Provance's specialty?

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

Is Jenna Provance enrolled in Medicare?

Yes. Jenna Provance 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.

What insurance does Jenna Provance accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), Quartz and UnitedHealthcare list Jenna Provance 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.

Is Jenna Provance affiliated with any hospitals?

According to CMS data, Jenna Provance is affiliated with Aurora Health Care Central Inc.

When was this NPI record last updated?

The NPPES record for Jenna Provance was last updated on December 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.