DR. JODI ANN PELEGRIN D.O.
NPI 1891802286
Family Medicine in Oneida, WI
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 Oneida, Wisconsin, licensed in Wisconsin (42297-21) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Manitowoc.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Jodi Pelegrin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Manitowoc, WI 54220
- Reassigned Medicare billing, Wisconsin enrollment
- 46 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54155 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 10
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 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 2901 S Overland Rd, Oneida, WI 54155. The listed phone number is (920) 869-2711.
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.
Which organization bills Medicare for Jodi Pelegrin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jodi Pelegrin reassigns Medicare benefits to Lakeshore Community Health Care, Inc (Manitowoc, WI). The 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 Jodi Pelegrin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jodi Pelegrin accept?
Health plans from Dean Health Plan 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 July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Dr. Jodi Ann Pelegrin, D.O. · NPI 1891802286
Family Medicine physician in Oneida, Wisconsin. Individual provider, active in the CMS NPPES registry since August 23, 2006.
## Identity
- **NPI:** 1891802286 (Entity type: Individual)
- **Enumerated:** August 23, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 42297-21 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2901 S OVERLAND RD, Oneida, WI 54155-8959
- **Phone:** (920) 869-2711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Lakeshore Community Health Care, Inc (NPI 1508391020, Manitowoc, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 27, 2026
- **Other identifiers:** Other 04515143 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1891802286) · Data from the CMS NPPES public registry.