MRS. JENNIFER MARIE LANGMAN REESE PA-C
NPI 1982792305
Physician Assistant - Medical in Appleton, WI

NPI Status: Active since October 11, 2006

Contact Information

1818 N MEADE ST
APPLETON, WI
ZIP 54911
Phone: (920) 731-8900
Fax: (920) 225-1479

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  • Individual
  • Female
  • Years of Experience 20
  • Physician Assistant
  • Medical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JENNIFER REESE

This page provides the complete NPI Profile along with additional information for Jennifer Reese, a primary care provider established in Appleton, Wisconsin with a medical specialization in Physician Assistant, focusing in medical and more than 20 years of experience. The healthcare provider is registered in the NPI registry with number 1982792305 assigned on October 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 2065 (WI). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1982792305
Provider Name
MRS. JENNIFER MARIE LANGMAN REESE PA-C
Other Name
MISS JENNIFER MARIE LANGMAN PA-C
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
1818 N MEADE ST APPLETON, WI 54911
Location Phone
(920) 731-8900
Location Fax
(920) 225-1479
Mailing Address
PO BOX 8003 APPLETON, WI 54912
Mailing Phone
(920) 738-4780
Mailing Fax
(920) 225-1479
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
10-11-2006
Last Update Date
01-28-2011
Code Navigator

A primary care provider (PCP) like Jennifer Reese sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
2065
License State
WI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - EPO
  • CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Bronze Standard $7500 - EPO
  • CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold $0 Ded - EPO
  • CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold $3300 - EPO
  • CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Gold Standard $2000 - EPO
  • CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - EPO
  • CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam - EPO
  • CareSource (Common Ground Healthcare) Silver Standard $6000 - EPO
  • CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam - EPO
  • Prestige Bronze $0 Medical Deductible - HMO
  • Prestige Bronze $0 Medical Deductible + Dental + Vision - HMO
  • Prestige Bronze $0 Medical Deductible + Dental +Vision - HMO
  • Prestige Bronze Essential + 3 Free PCP Visits - HMO
  • Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Bronze Plus - HMO
  • Prestige Gold - HMO
  • Prestige Gold 50 + 1 Free PCP Visit - HMO
  • Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit - HMO
  • Prestige Gold 50 + Dental + Vision+ 1 Free PCP Visit - HMO
  • Prestige Gold Essential + 3Free PCP Visits - HMO
  • Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits - HMO
  • Prestige Silver - HMO
  • Prestige Silver Essential + 3 Free PCP Visits - HMO
  • Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
42895900MEDICAID (05)WI 
Q72172MEDICARE UPIN (02)WI 
$$$$$$$$$004OTHER (01)WIBLUE CROSS/ BLUE SHIELD
0032MEDICARE PIN (08)WI 

Medicare Participation & PECOS Enrollment Status

Jennifer Reese is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jennifer Reese is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9739186651

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20061106000573

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jennifer Reese is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC1818 N MEADE ST
APPLETON, WI 54911
(920) 731-4101Acute Care Hospitals

Reviews for MRS. JENNIFER MARIE LANGMAN REESE PA-C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1982792305, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
9
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 6 + 2 + 1 + 4 + 9 + 4 + 3 + 0 + 24 = 65

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1982792305.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Surgery
1818 N MEADE ST, SUITE 240 WEST
APPLETON, WI 54911
Emergency Medicine (Emergency Medical Services)
1818 N MEADE ST
APPLETON, WI 54911
Emergency Medicine (Emergency Medical Services)
1818 N MEADE ST
APPLETON, WI 54911
Nurse Practitioner (Family)
1818 N MEADE ST
APPLETON, WI 54911
Emergency Medicine (Emergency Medical Services)
1818 N MEADE ST
APPLETON, WI 54911
Emergency Medicine (Emergency Medical Services)
1818 N MEADE ST
APPLETON, WI 54911
Emergency Medicine (Emergency Medical Services)
1818 N MEADE ST
APPLETON, WI 54911
Anesthesiology
1818 N MEADE ST
APPLETON, WI 54911
Surgery
1818 N MEADE ST, STE 240-WEST
APPLETON, WI 54911
Nurse Practitioner
1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911
Physician Assistant
1818 N MEADE ST, SUITE 240 WEST
APPLETON, WI 54911
Surgery (Vascular Surgery)
1818 N MEADE ST, SUITE 240 WEST
APPLETON, WI 54911
Surgery
1818 N MEADE ST, STE 240-WEST
APPLETON, WI 54911
Surgery
1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911
1818 N MEADE ST, STE 240 W
APPLETON, WI 54911
1818 N MEADE ST, STE 240 W
APPLETON, WI 54911
1818 N MEADE ST, SUITE 240 WEST
APPLETON, WI 54911
1818 N MEADE ST, STE 240-WEST
APPLETON, WI 54911
Physical Therapist
1818 N MEADE ST
APPLETON, WI 54911
Genetic Counselor, MS
1818 N MEADE ST
APPLETON, WI 54911

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1982792305, enumerated as an "individual" on October 11, 2006.

The provider is located at 1818 N MEADE ST APPLETON, WI 54911 and the phone number is (920) 731-8900.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: CareSource (Common Ground Healthcare), Network. Please consult your insurance carrier or call the provider to verify.

Jennifer Reese is affiliated with: THEDACARE REGIONAL MEDICAL CENTER - APPLETON INC.