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DR. JAMIE LYNN ERTL OD
NPI 1952392003
Optometrist in De Pere, WI

Active since October 28, 2005PECOS Enrolled
723 MAIN AVE, DE PERE, WI 54115(920) 336-3390 Get Directions Write a Review

NPPES record last updated: May 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jamie Lynn Ertl Od NPPES

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

DR. JAMIE LYNN ERTL OD (NPI 1952392003) is an individual optometrist in De Pere, Wisconsin, licensed in Wisconsin (3033035) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952392003
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. JAMIE LYNN ERTLCredential: OD
Location Address723 MAIN AVEDe Pere, WI 54115-1371
Mailing Address723 Main AveDe Pere, WI 54115-1371 · (920) 336-3390
Phone(920) 336-3390
Sole ProprietorNo
Enumeration DateOctober 28, 2005
Last NPPES UpdateMay 15, 2021
NPPES CertifiedMay 15, 2021
✔ NPI 1952392003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in WI · 3033035
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
723 MAIN AVE, De Pere, WI 54115
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Other Identifiers 1

Medicaid38645400WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross and Blue Shield of Louisiana and more.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. Jamie Lynn Ertl Od 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.

Areas of Expertise CMS Part B claims

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54115 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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

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

SHOPTIKAL LLC
Eyewear Supplier
723 MAIN AVE
DEPERE, WI 54115
Brown County (920) 336-3390

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 Jamie Ertl's NPI number?

The NPI number for Jamie Ertl is 1952392003. It was assigned to this individual provider in the NPPES registry on October 28, 2005.

Where is Jamie Ertl located?

Jamie Ertl practices at 723 Main Ave, De Pere, WI 54115. The listed phone number is (920) 336-3390.

What is Jamie Ertl's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Jamie Ertl enrolled in Medicare?

Yes. Jamie Ertl is registered in the Medicare PECOS enrollment system.

What insurance does Jamie Ertl accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Blue Cross and Blue Shield of Montana and 6 other insurers list Jamie Ertl 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 Jamie Ertl was last updated on May 15, 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.