TESALIA R JORDENS D.O.
NPI 1750762472
Family Medicine in Delavan, WI

Active since June 18, 2015PECOS EnrolledAccepts Medicare Assignment
1550 HOBBS DR, DELAVAN, WI 53115(262) 740-4200 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 11, 2024, Dec 6, 2021, Apr 22, 2021 and 4 more (7 updates tracked since 2018).

About Tesalia R Jordens D.o. NPPES

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

TESALIA R JORDENS D.O. (NPI 1750762472) is an individual family medicine provider in Delavan, Wisconsin, licensed in Wisconsin (68755) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1750762472
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameTESALIA R JORDENSCredential: D.O.
Location Address1550 HOBBS DRDelavan, WI 53115-2027
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJune 18, 2015
Last NPPES UpdateJuly 11, 20247 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
NPI 1750762472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in WI · 68755 Licensed in IL · 125.067595
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1550 HOBBS DR, Delavan, WI 53115

Other Names 1

Former Name (1)Tesalia R Renteria

Other Identifiers 1

Medicaid100079046WI

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

Tesalia R Jordens D.o. 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 ID3375840168
PECOS Enrollment IDI20180808001091
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 10

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 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.
238 services163 patients
Diabetes outpatient self-management training services, individual, per 30 minutes G0108
This service involves personalized training sessions, each lasting 30 minutes, to help manage diabetes. It includes guidance on monitoring blood sugar, healthy eating, physical activity, medication usage, and dealing with daily challenges of living with diabetes.
86 services21 patients
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.
72 services71 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
62 services62 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
18 services18 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
16 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53115 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$26.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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
1550 HOBBS DR
DELAVAN, WI 53115
Physical Therapist
1550 HOBBS DR
DELAVAN, WI 53115
Family Medicine
1550 HOBBS DR
DELAVAN, WI 53115
Physical Therapist
1550 HOBBS DR
DELAVAN, WI 53115
Family Medicine
1550 HOBBS DR
DELAVAN, WI 53115
Physical Medicine & Rehabilitation (Sports Medicine)
1550 HOBBS DR
DELAVAN, WI 53115
Family Medicine
1550 HOBBS DR
DELAVAN, WI 53115
Nurse Practitioner
1550 HOBBS DR
DELAVAN, WI 53115

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 Tesalia Jordens's NPI number?

The NPI number for Tesalia Jordens is 1750762472. It was assigned to this individual provider in the NPPES registry on June 18, 2015. The provider is also known as Tesalia R Renteria.

Where is Tesalia Jordens located?

Tesalia Jordens practices at 1550 Hobbs Dr, Delavan, WI 53115. The listed phone number is (262) 740-4200.

What is Tesalia Jordens's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Tesalia Jordens enrolled in Medicare?

Yes. Tesalia Jordens 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 Tesalia Jordens accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Tesalia Jordens 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 Tesalia Jordens was last updated on July 11, 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.