MRS. JESSICA HELEN ALTIS PA-C
NPI 1841587029
Physician Assistant - Medical in West Allis, WI

Q: What is Jessica Altis's NPI number?

The NPI number for Jessica Altis is 1841587029. It was assigned to this individual provider in the NPPES registry on July 7, 2011. The provider is also known as Ms. Jessica Helen Burki Pa-C.

Q: What is Jessica Altis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Altis was last updated on February 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 07, 2011PECOS Enrolled

11211 W LINCOLN AVE, LINCOLN AVENUE CLINIC, WEST ALLIS, WI 53227(414) 955-5900(414) 327-7639 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Mrs. Jessica Helen Altis Pa-c NPPES

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

MRS. JESSICA HELEN ALTIS PA-C (NPI 1841587029) is an individual medical provider in West Allis, Wisconsin, licensed in Wisconsin (278623) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841587029

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. JESSICA HELEN ALTISCredential: PA-C

Location Address11211 W LINCOLN AVE, LINCOLN AVENUE CLINICWest Allis, WI 53227-1035

Mailing Address11211 W Lincoln Ave, Lincoln Avenue ClinicWest Allis, WI 53227-1035 · (414) 955-5900 · Fax (414) 327-7639

Phone(414) 955-5900

Fax(414) 327-7639

Sole ProprietorNo

Enumeration DateJuly 7, 2011

Last NPPES UpdateFebruary 15, 2016

✔ NPI 1841587029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WI · 278623

11211 W LINCOLN AVE, West Allis, WI 53227

Open in Google Maps ↗

Other Names 1

Former Name (1)Ms. Jessica Helen Burki Pa-c

Other Identifiers 3

Medicare PIN680861244WI

Medicaid1841587029WI

Medicare PIN736012439WI

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jessica Helen Altis Pa-c 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.

Leave this field empty

Other Providers at the Same Location NPPES 14

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

DR. MONICA M O'SULLIVAN MD

Internal Medicine