JACLYN T PEISSIG NP
NPI 1790471332
Nurse Practitioner in Menomonie, WI

Q: What is Jaclyn Peissig's NPI number?

The NPI number for Jaclyn Peissig is 1790471332. It was assigned to this individual provider in the NPPES registry on April 17, 2023. The provider is also known as Jaclyn T Miller Np.

Q: What is Jaclyn Peissig's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Peissig was last updated on June 18, 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.

Active since April 17, 2023PECOS Enrolled

103 1ST AVE W, MENOMONIE, WI 54751(715) 232-1314 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2024, Apr 19, 2024 (2 updates tracked since 2024).

On this page

About Jaclyn T Peissig Np NPPES

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

JACLYN T PEISSIG NP (NPI 1790471332) is an individual nurse practitioner in Menomonie, Wisconsin, licensed in Wisconsin (13831-33) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790471332

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameJACLYN T PEISSIGCredential: NP

Location Address103 1ST AVE WMenomonie, WI 54751-1876

Mailing Address1702 Fox RunMenomonie, WI 54751-1401

Phone(715) 232-1314

Sole ProprietorNo

Enumeration DateApril 17, 2023

Last NPPES UpdateJune 18, 20242 updates tracked since enumeration

NPPES CertifiedJune 18, 2024

✔ NPI 1790471332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 13831-33

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

103 1ST AVE W, Menomonie, WI 54751

Open in Google Maps ↗

Other Names 1

Former Name (1)Jaclyn T Miller Np

Other Identifiers 1

Medicaid100248089WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn T Peissig 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 54751 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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA CRAGIN APNP

Nurse Practitioner (Women's Health)