MRS. JESSICA HELEN ALTIS PA-C
NPI 1841587029
Physician Assistant - Medical in West Allis, WI
NPI Status: Active since July 07, 2011
Contact Information
11211 W LINCOLN AVE
LINCOLN AVENUE CLINIC
WEST ALLIS, WI
ZIP 53227
Phone: (414) 955-5900
Fax: (414) 327-7639
- Individual
- Female
- Physician Assistant
- Medical
- PECOS Enrolled
About JESSICA ALTIS
This page provides the complete NPI Profile along with additional information for Jessica Altis, a primary care provider established in West Allis, Wisconsin with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1841587029 assigned on July 2011. The practitioner's primary taxonomy code is 363AM0700X with license number 278623 (WI). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1841587029
- Provider Name
- MRS. JESSICA HELEN ALTIS PA-C
- Other Name
- MS. JESSICA HELEN BURKI PA-C
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11211 W LINCOLN AVE LINCOLN AVENUE CLINIC WEST ALLIS, WI 53227
- Location Phone
- (414) 955-5900
- Location Fax
- (414) 327-7639
- Mailing Address
- 11211 W LINCOLN AVE LINCOLN AVENUE CLINIC WEST ALLIS, WI 53227
- Mailing Phone
- (414) 955-5900
- Mailing Fax
- (414) 327-7639
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-07-2011
- Last Update Date
- 02-15-2016
- Code Navigator
A primary care provider (PCP) like Jessica Altis sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 278623
- License State
- WI
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
680861244 | MEDICARE PIN (08) | WI | |
1841587029 | MEDICAID (05) | WI | |
736012439 | MEDICARE PIN (08) | WI |
Medicare Participation & PECOS Enrollment Status
Jessica Altis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for MRS. JESSICA HELEN ALTIS PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 8 | 4 | 1 | 5 | 8 | 7 | 0 | 2 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 8 | 1 | 10 | 8 | 14 | 0 | 4 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 8 + 1 + 1 + 0 + 8 + 1 + 4 + 0 + 4 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1841587029 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 14 providers are registered at the same or nearby location.
DR. TYSHUNDA LAKESHA MANNING MD
Obstetrics & Gynecology
11211 W LINCOLN AVE
WEST ALLIS, WI
ZIP 53227
MARY C BURKE M.D.
Obstetrics & Gynecology
11211 W LINCOLN AVE
LINCOLN AVENUE CLINIC
MILWAUKEE, WI
ZIP 53227
DR. MICHAEL J LASSER MD
Obstetrics & Gynecology
11211 W LINCOLN AVE
LINCOLN AVENUE CLINIC
WEST ALLIS, WI
ZIP 53227
DR. DAVID E PRYBA MD
Internal Medicine
11211 W LINCOLN AVE
LINCOLN AVENUE CLINIC
WEST ALLIS, WI
ZIP 53227
DR. JOAN L MILOTT MD
Internal Medicine
11211 W LINCOLN AVE
LINCOLN AVENUE CLINIC
WEST ALLIS, WI
ZIP 53227
DR. KEISHA DENISE ROGERS M.D.
Family Medicine
11211 W LINCOLN AVE
WEST ALLIS, WI
ZIP 53227
MELANIE KLAWITTER AGNP
Nurse Practitioner
(Adult Health)
11211 W LINCOLN AVE
WEST ALLIS, WI
ZIP 53227
JAYMIE LYNN GEHRING DNP-FNP
Nurse Practitioner
(Family)
11211 W LINCOLN AVE
WEST ALLIS, WI
ZIP 53227
DR. MONICA M O'SULLIVAN MD
Internal Medicine
11211 W LINCOLN AVE
WEST ALLIS, WI
ZIP 53227
MEGAN HINTZ FNP-C
Nurse Practitioner
(Family)
11211 W LINCOLN AVE
WEST ALLIS, WI
ZIP 53227
MS. KATHRYN J AISPURO RN, CNM
Advanced Practice Midwife
11211 W LINCOLN AVE
WEST ALLIS, WI
ZIP 53227
MRS. KATRINA NGUYEN JOSKI PA-C
Physician Assistant
(Medical)
11211 W LINCOLN AVE
WEST ALLIS, WI
ZIP 53227
ERIN CLAWSON
Nurse Practitioner
(Family)
11211 W LINCOLN AVE
WEST ALLIS, WI
ZIP 53227
ANI L SARYAN KOPF MD
Family Medicine
11211 W LINCOLN AVE
WEST ALLIS, WI
ZIP 53227
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841587029, enumerated as an "individual" on July 07, 2011.
The provider is located at 11211 W LINCOLN AVE LINCOLN AVENUE CLINIC WEST ALLIS, WI 53227 and the phone number is (414) 955-5900.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.