JENNA L BYOM NP
NPI 1871120667
Nurse Practitioner - Family in Appleton, WI
About Jenna L Byom Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNA L BYOM NP (NPI 1871120667) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (999033) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jenna L Byom Np 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jenna Byom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Glendale, WI 53212
- Reassigned Medicare billing, Wisconsin enrollment
- 1,343 clinicians in this Medicare group
Mount Pleasant, WI 53405
- Reassigned Medicare billing, Wisconsin enrollment
- 72 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension Columbia St Mary's Hospital Milwaukee
Acute Care Hospitals · Milwaukee, WIAscension All Saints Hospital
Acute Care Hospitals · Racine, WIAscension SE Wisconsin Hospital
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54915 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jenna Byom's NPI number?
The NPI number for Jenna Byom is 1871120667. It was assigned to this individual provider in the NPPES registry on March 24, 2020.
Where is Jenna Byom located?
Jenna Byom practices at 1335 S Oneida St, Appleton, WI 54915. The listed phone number is (800) 427-1902.
What is Jenna Byom's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jenna Byom enrolled in Medicare?
Yes. Jenna Byom 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.
Which organizations bill Medicare for Jenna Byom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jenna Byom reassigns Medicare benefits to 2 organizations: Ascension Medical Group-Southeast Wisconsin Inc (Glendale, WI) and Midwest Critical Care Sc (Mount Pleasant, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jenna Byom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Jenna Byom affiliated with any hospitals?
According to CMS data, Jenna Byom is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, Ascension All Saints Hospital and Ascension SE Wisconsin Hospital.
When was this NPI record last updated?
The NPPES record for Jenna Byom was last updated on March 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jenna L Byom, NP · NPI 1871120667
Family physician in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since March 24, 2020.
## Identity
- **NPI:** 1871120667 (Entity type: Individual)
- **Enumerated:** March 24, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 999033 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1335 S ONEIDA ST, Appleton, WI 54915-1351
- **Phone:** (800) 427-1902
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Ascension Medical Group-Southeast Wisconsin Inc (NPI 1609881077, Glendale, WI); Midwest Critical Care Sc (NPI 1093425647, Mount Pleasant, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** March 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1871120667) · Data from the CMS NPPES public registry.