JACOB R WARRENS PA
NPI 1972925790
Physician Assistant in Brillion, WI

Active since January 14, 2014PECOS EnrolledAccepts Medicare Assignment
964 W RYAN ST, SUITE B, BRILLION, WI 54110(920) 756-2055 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 11, 2023, Jan 14, 2016 (2 updates tracked since 2016).

About Jacob R Warrens Pa NPPES

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

JACOB R WARRENS PA (NPI 1972925790) is an individual physician assistant in Brillion, Wisconsin and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1972925790
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB R WARRENSCredential: PA
Location Address964 W RYAN ST, SUITE BBrillion, WI 54110-1517
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7210 · Fax (920) 445-7289
Sole ProprietorNo
Medical School CMSSt. Louis College Of Physicians And SurgeonsGraduated 2013
Enumeration DateJanuary 14, 2014
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
NPI 1972925790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

964 W RYAN ST, Brillion, WI 54110

Secondary Practice Locations 3

Location 13415 Custer StManitowoc, WI 54220-4324 · Phone (920) 652-9310 · Fax (920) 652-9316
Location 2555 Quality CtWrightstown, WI 54180-9006 · Phone (920) 532-6320 · Fax (920) 532-6269
Location 3405 Commercial StSeymour, WI 54165-8474 · Phone (920) 833-2318 · Fax (920) 833-6883

Other Identifiers 1

Other1117090Nccpa

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 and accepts Medicare assignment

Jacob R Warrens 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 ID8224268701
PECOS Enrollment IDI20140228001499
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 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.
74 services38 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
20 services20 patients
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.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54110 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 7

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

Clinic/Center (Dental)
964 W RYAN ST, SUITE D
BRILLION, WI 54110
Eyewear Supplier
964 W RYAN ST, SUITE E
BRILLION, WI 54110
Family Medicine
964 W RYAN ST, SUITE B
BRILLION, WI 54110
Dentist
964 W RYAN ST, SUITE D
BRILLION, WI 54110
Physical Therapist
964 W RYAN ST, SUITE B
BRILLION, WI 54110
Physician Assistant
964 W RYAN ST
BRILLION, WI 54110
Physician Assistant
964 W RYAN ST, SUITE B
BRILLION, WI 54110

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 Jacob Warrens's NPI number?

The NPI number for Jacob Warrens is 1972925790. It was assigned to this individual provider in the NPPES registry on January 14, 2014.

Where is Jacob Warrens located?

Jacob Warrens practices at 964 W Ryan St Suite B, Brillion, WI 54110. The listed phone number is (920) 756-2055.

What is Jacob Warrens's specialty?

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

Is Jacob Warrens enrolled in Medicare?

Yes. Jacob Warrens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Warrens accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Jacob Warrens 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.

Is Jacob Warrens affiliated with any hospitals?

According to CMS data, Jacob Warrens is affiliated with Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Warrens was last updated on July 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.