LISA A JANSEN PA
NPI 1902141419
Physician Assistant in Prairie Du Sac, WI

Q: What is Lisa Jansen's NPI number?

The NPI number for Lisa Jansen is 1902141419. It was assigned to this individual provider in the NPPES registry on December 10, 2012.

Q: What is Lisa Jansen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Jansen was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 10, 2012PECOS EnrolledAccepts Medicare Assignment

260 26TH ST, PRAIRIE DU SAC, WI 53578(608) 643-3311(608) 643-8600 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2021, Dec 22, 2015 (2 updates tracked since 2015).

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About Lisa A Jansen Pa NPPES

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

LISA A JANSEN PA (NPI 1902141419) is an individual physician assistant in Prairie Du Sac, Wisconsin, licensed in Wisconsin (3011-23) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS, is affiliated with Sauk Prairie Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1902141419

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLISA A JANSENCredential: PA

Location Address260 26TH STPrairie Du Sac, WI 53578-2203

Mailing Address260 26th StPrairie Du Sac, WI 53578-2203 · (608) 643-3311 · Fax (608) 643-8600

Phone(608) 643-3311

Fax(608) 643-8600

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateDecember 10, 2012

Last NPPES UpdateMarch 24, 20212 updates tracked since enumeration

NPPES CertifiedMarch 24, 2021

✔ NPI 1902141419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in WI · 3011-23

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

260 26TH ST, Prairie Du Sac, WI 53578

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Group Health Cooperative-SCW.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lisa A Jansen Pa 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.

PECOS PAC ID4486956125

PECOS Enrollment IDI20160112001810

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

88 services87 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

35 services35 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sauk Prairie Hospital

Acute Care Hospitals · Prairie Du Sac, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520095

Location260 26th StreetPrairie Du Sac, WI 53578 · Sauk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53578 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

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MRS. KIMBERLY L OLSON APNP

Nurse Practitioner