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JACOB DALBERG
NPI 1710619051
Physician Assistant in Ashland, WI

Active since June 27, 2022PECOS Enrolled
1615 MAPLE LN, ASHLAND, WI 54806(715) 685-5500 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Dalberg NPPES

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

JACOB DALBERG (NPI 1710619051) is an individual physician assistant in Ashland, Wisconsin, licensed in Wisconsin (101474) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710619051
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB DALBERG
Location Address1615 MAPLE LNAshland, WI 54806-3626
Mailing Address1615 Maple LnAshland, WI 54806-3626 · (715) 685-5500
Phone(715) 685-5500
Sole ProprietorNo
Enumeration DateJune 27, 2022
Last NPPES UpdateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1710619051 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 · 101474
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.
1615 MAPLE LN, Ashland, WI 54806
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Accepted Insurance

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

Jacob Dalberg 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 54806 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.

BARBARA E JUSULA NP
Registered Nurse
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5500
KEVIN J MCCLELLAND MD
Internal Medicine (Gastroenterology)
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5290
MS. MELISSA JEAN MALMBERG DNP
Nurse Practitioner (Family)
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5500
ALEXANDER HEINZ
Emergency Medicine
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5500
ASHLAND PATHOLOGY SERVICES SC
Pathology (Anatomic Pathology & Clinical Pathology)
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5440
THOMAS WILLIAM JORGENSEN
Nurse Anesthetist, Certified Registered
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5500
JOHN FLORIAN HUSSA MD AODAC
Internal Medicine (Addiction Medicine)
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5500
BRITTNY WHITE SAC-IT
Counselor (Addiction (Substance Use Disorder))
1615 MAPLE LN
ASHLAND, WI 54806
Ashland County (715) 685-5400

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 Jacob Dalberg's NPI number?

The NPI number for Jacob Dalberg is 1710619051. It was assigned to this individual provider in the NPPES registry on June 27, 2022.

Where is Jacob Dalberg located?

Jacob Dalberg practices at 1615 Maple Ln, Ashland, WI 54806. The listed phone number is (715) 685-5500.

What is Jacob Dalberg's specialty?

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

Is Jacob Dalberg enrolled in Medicare?

Yes. Jacob Dalberg is registered in the Medicare PECOS enrollment system.

What insurance does Jacob Dalberg accept?

Health plans from Anthem Blue Cross and Blue Shield, HealthPartners, Medica and Security Health Plan list Jacob Dalberg 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 Jacob Dalberg was last updated on January 29, 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.