JENNA K DICK
NPI 1720888514
Student in an Organized Health Care Education/Training Program in La Crosse, WI

Active since March 19, 2025PECOS Enrolled
1836 SOUTH AVE, LA CROSSE, WI 54601(608) 782-7300 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 14, 2026, May 19, 2026, Mar 19, 2025 (3 updates tracked since 2025).

About Jenna K Dick NPPES

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

JENNA K DICK (NPI 1720888514) is an individual student in an organized health care education/training program in La Crosse, Wisconsin and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720888514
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNA K DICK
Location Address1836 SOUTH AVELa Crosse, WI 54601-5429
Mailing Address1836 South AveLa Crosse, WI 54601-5429 · (608) 782-7300
Sole ProprietorNo
Enumeration DateMarch 19, 2025
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1720888514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1836 SOUTH AVE, La Crosse, WI 54601

Other Names 1

Former Name (1)Jenna K Johnson

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna K Dick 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.

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.

Anesthesiology
1836 SOUTH AVE, GUNDERSEN CLINIC, LTD.
LA CROSSE, WI 54601
Nurse Anesthetist, Certified Registered
1836 SOUTH AVE
LA CROSSE, WI 54601
Psychologist
1836 SOUTH AVE
LA CROSSE, WI 54601
Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
Nurse Practitioner (Adult Health)
1836 SOUTH AVE
LA CROSSE, WI 54601
Orthopaedic Surgery
1836 SOUTH AVE
LA CROSSE, WI 54601
Registered Nurse (Addiction (Substance Use Disorder))
1836 SOUTH AVE
LA CROSSE, WI 54601
Nurse Practitioner (Family)
1836 SOUTH AVE
LA CROSSE, WI 54601

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 Dick's NPI number?

The NPI number for Jenna Dick is 1720888514. It was assigned to this individual provider in the NPPES registry on March 19, 2025. The provider is also known as Jenna K Johnson.

Where is Jenna Dick located?

Jenna Dick practices at 1836 South Ave, La Crosse, WI 54601. The listed phone number is (608) 782-7300.

What is Jenna Dick's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jenna Dick enrolled in Medicare?

Yes. Jenna Dick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenna Dick was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.