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PAUL MICHAEL JEZIORCZAK
NPI 1942472915
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since March 30, 2008PECOS Enrolled
9200 W WISCONSIN AVE, MEDICAL COLLEGE OF WISCONSIN DEPARTMENT OF SURGERY, MILWAUKEE, WI 53226(708) 431-3899(414) 259-9225 Get Directions Write a Review

NPPES record last updated: March 30, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Paul Michael Jeziorczak NPPES

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

PAUL MICHAEL JEZIORCZAK (NPI 1942472915) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942472915
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePAUL MICHAEL JEZIORCZAK
Location Address9200 W WISCONSIN AVE, MEDICAL COLLEGE OF WISCONSIN DEPARTMENT OF SURGERYMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin Ave, Medical College Of Wisconsin Department Of SurgeryMilwaukee, WI 53226-3522 · (708) 431-3899 · Fax (414) 259-9225
Phone(708) 431-3899
Fax(414) 259-9225
Sole ProprietorNo
Enumeration DateMarch 30, 2008
✔ NPI 1942472915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9200 W WISCONSIN AVE, Milwaukee, WI 53226
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Michael Jeziorczak 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Paul Jeziorczak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osf Multi-Specialty Group
177 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050
Carle Health Medical Group
202 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TRACY BLAIR WANDTKE HERRMANN APNP, CNM
Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-4777
DR. ZACHARY SMITH DO
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-6830
DR. COLLEEN ANN CROWE M.D., M.P.H.
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6469
ROBERTO MEJIAS APNP
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6600
MRS. ANNE E B LAKATOS APN-BC, APNP, RN
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
MRS. AMANDA M MANDERS APNP
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-6850
KATHLEEN A WATERHOUSE-SKIBICKI CRNA
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 805-5951
ANDREA L BEQUEST PA
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-0350

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 Paul Jeziorczak's NPI number?

The NPI number for Paul Jeziorczak is 1942472915. It was assigned to this individual provider in the NPPES registry on March 30, 2008.

Where is Paul Jeziorczak located?

Paul Jeziorczak practices at 9200 W Wisconsin Ave Medical College Of Wisconsin Department Of Surgery, Milwaukee, WI 53226. The listed phone number is (708) 431-3899.

What is Paul Jeziorczak's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Paul Jeziorczak enrolled in Medicare?

Yes. Paul Jeziorczak is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Paul Jeziorczak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Jeziorczak reassigns Medicare benefits to 2 organizations: Osf Multi-Specialty Group (Peoria, IL) and Carle Health Medical Group (Urbana, IL). 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 Paul Jeziorczak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Paul Jeziorczak was last updated on March 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.