JAMES THOMAS JERZAK MD
NPI 1760466502
Family Medicine in Green Bay, WI
About James Thomas Jerzak Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES THOMAS JERZAK MD (NPI 1760466502) is an individual family medicine provider in Green Bay, Wisconsin, licensed in Wisconsin (25960) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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 (PECOS)
James Thomas Jerzak Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54313 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
GREEN BAY, WI 54313
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 James Jerzak's NPI number?
The NPI number for James Jerzak is 1760466502. It was assigned to this individual provider in the NPPES registry on December 5, 2005.
Where is James Jerzak located?
James Jerzak practices at 1630 Commanche Ave, Green Bay, WI 54313. The listed phone number is (920) 430-4700.
What is James Jerzak's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is James Jerzak enrolled in Medicare?
Yes. James Jerzak is registered in the Medicare PECOS enrollment system.
What insurance does James Jerzak accept?
Health plans from CareSource (Common Ground Healthcare) list James Jerzak 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 James Jerzak was last updated on May 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# James Thomas Jerzak, MD · NPI 1760466502
Family Medicine physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since December 5, 2005.
## Identity
- **NPI:** 1760466502 (Entity type: Individual)
- **Enumerated:** December 5, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 25960 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1630 COMMANCHE AVE, Green Bay, WI 54313-5753
- **Phone:** (920) 430-4700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 18, 2012
- **Other identifiers:** Other 25960 (WV); Medicare UPIN B53864 (WI); Medicare OSCAR/certification 000107510 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1760466502) · Data from the CMS NPPES public registry.