DR. JODI ANN PELEGRIN D.O.
NPI 1891802286
Family Medicine in Manitowoc, WI

Active since August 23, 2006PECOS Enrolled
2719 CALUMET AVE, MANITOWOC, WI 54220(920) 686-2333 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jodi Ann Pelegrin D.o. NPPES

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

DR. JODI ANN PELEGRIN D.O. (NPI 1891802286) is an individual family medicine provider in Manitowoc, Wisconsin, licensed in Wisconsin (42297-21) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891802286
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JODI ANN PELEGRINCredential: D.O.
Location Address2719 CALUMET AVEManitowoc, WI 54220-5546
Mailing AddressPo Box 959Sheboygan, WI 53082-0959 · (920) 686-2333
Sole ProprietorNo
Enumeration DateAugust 23, 2006
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
NPI 1891802286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 42297-21
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2719 CALUMET AVE, Manitowoc, WI 54220

Other Names 1

Other Name (5)Jodi Ann Pelegrin Jodi Ann Blades

Other Identifiers 1

Other04515143IL · Bcbs#

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)

Dr. Jodi Ann Pelegrin D.o. 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 54220 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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers26 claims58 services$5.57 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers19 claims26 services$0.98 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier13 claims21 services$42.63 avg. paid by Medicare
Patient lift, electric with seat or sling E0635
DME-Other DME · category DE000N
1 supplier12 claims12 services$74.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier24 claims24 services$113.35 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
4 suppliers13 claims5,151 services$0.04 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

Nurse Practitioner (Psychiatric/Mental Health)
2719 CALUMET AVE
MANITOWOC, WI 54220
Social Worker (Clinical)
2719 CALUMET AVE
MANITOWOC, WI 54220
Counselor (Professional)
2719 CALUMET AVE
MANITOWOC, WI 54220
Dentist
2719 CALUMET AVE
MANITOWOC, WI 54220
Pharmacy (Community/Retail Pharmacy)
2719 CALUMET AVE
MANITOWOC, WI 54220
Specialist/Technologist (Athletic Trainer)
2719 CALUMET AVE
MANITOWOC, WI 54220
Dentist
2719 CALUMET AVE
MANITOWOC, WI 54220
Clinic/Center (Federally Qualified Health Center (FQHC))
2719 CALUMET AVE
MANITOWOC, WI 54220

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 Jodi Pelegrin's NPI number?

The NPI number for Jodi Pelegrin is 1891802286. It was assigned to this individual provider in the NPPES registry on August 23, 2006. The provider is also known as Jodi Ann Pelegrin Jodi Ann Blades.

Where is Jodi Pelegrin located?

Jodi Pelegrin practices at 2719 Calumet Ave, Manitowoc, WI 54220. The listed phone number is (920) 686-2333.

What is Jodi Pelegrin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jodi Pelegrin enrolled in Medicare?

Yes. Jodi Pelegrin is registered in the Medicare PECOS enrollment system.

What insurance does Jodi Pelegrin accept?

Health plans from Network Health list Jodi Pelegrin 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 Jodi Pelegrin was last updated on August 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.