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MRS. JENNIFER MARIE WYSONG MMS, PA-C
NPI 1992103477
Physician Assistant in Goshen, IN

Active since December 15, 2014PECOS Enrolled
81.23/100
CMS Quality Rating
1111 LIGHTHOUSE LN, GOSHEN, IN 46526(574) 533-0348(574) 533-0277 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 30, 2023, Feb 1, 2023, Jan 24, 2022 and 3 more (6 updates tracked since 2018).

About Mrs. Jennifer Marie Wysong Mms, Pa-c NPPES

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

MRS. JENNIFER MARIE WYSONG MMS, PA-C (NPI 1992103477) is an individual physician assistant in Goshen, Indiana, licensed in Indiana (10003507A) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992103477
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JENNIFER MARIE WYSONGCredential: MMS, PA-C
Location Address1111 LIGHTHOUSE LNGoshen, IN 46526-3824
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Phone(574) 533-0348
Fax(574) 533-0277
Sole ProprietorNo
Enumeration DateDecember 15, 2014
Last NPPES UpdateAugust 30, 20236 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1992103477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in IN · 10003507A✔ Licensed in IL · 085.005306
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.
1111 LIGHTHOUSE LN, Goshen, IN 46526
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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)

Mrs. Jennifer Marie Wysong Mms, Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46526 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.95
Promoting Interoperability100
Improvement Activities40
Cost68.49

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.

SHELBY FALTYNSKI APN
Nurse Practitioner
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-8925
DR. GREG M MIELKE M.D.
Specialist
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-0348
GREGORY L TODD M.D.
Obstetrics & Gynecology
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-0348
CATHERINE E BINGER CNM
Advanced Practice Midwife
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-0348
DR. NICHOLAS DEFAUW DO
Family Medicine
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (260) 266-4007
MORGAN ELIZABETH DE KLEINE CNM, FNP-BC
Obstetrics & Gynecology (Gynecology)
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-0348
BEVERLY A LOWTHER CNM
Advanced Practice Midwife
1111 LIGHTHOUSE LN
GOSHEN, IN 46526
Elkhart County (574) 533-0348

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 Jennifer Wysong's NPI number?

The NPI number for Jennifer Wysong is 1992103477. It was assigned to this individual provider in the NPPES registry on December 15, 2014.

Where is Jennifer Wysong located?

Jennifer Wysong practices at 1111 Lighthouse Ln, Goshen, IN 46526. The listed phone number is (574) 533-0348.

What is Jennifer Wysong's specialty?

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

Is Jennifer Wysong enrolled in Medicare?

Yes. Jennifer Wysong is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Wysong accept?

Health plans from CareSource list Jennifer Wysong 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 Jennifer Wysong was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.