JACKELYN LAURA PADJEN NP
NPI 1710586235
Nurse Practitioner - Family in Eau Claire, WI

Q: What is Jackelyn Padjen's NPI number?

The NPI number for Jackelyn Padjen is 1710586235. It was assigned to this individual provider in the NPPES registry on October 26, 2020. The provider is also known as Jackelyn Peterson.

Q: What is Jackelyn Padjen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jackelyn Padjen was last updated on December 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 26, 2020PECOS Enrolled

3213 STEIN BLVD, EAU CLAIRE, WI 54701(715) 830-0732 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 20, 2021, May 6, 2021, Oct 26, 2020 (3 updates tracked since 2020).

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About Jackelyn Laura Padjen Np NPPES

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

JACKELYN LAURA PADJEN NP (NPI 1710586235) is an individual family provider in Eau Claire, Wisconsin, licensed in Minnesota (7779) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710586235

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJACKELYN LAURA PADJENCredential: NP

Location Address3213 STEIN BLVDEau Claire, WI 54701-6946

Mailing Address719 W Hamilton Ave Ste BEau Claire, WI 54701-6970 · (715) 552-9784 · Fax (715) 835-6370

Phone(715) 830-0732

Sole ProprietorNo

Enumeration DateOctober 26, 2020

Last NPPES UpdateDecember 20, 20213 updates tracked since enumeration

NPPES CertifiedDecember 20, 2021

✔ NPI 1710586235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MN · 7779

3213 STEIN BLVD, Eau Claire, WI 54701

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Other Names 1

Former Name (1)Jackelyn Peterson

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Security Health Plan.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)

Jackelyn Laura Padjen Np 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 54701 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.

DECESARE ORTHOPEDIC CLINIC SC

Orthopaedic Surgery