Tyler Jessel · Physician Assistant

2851 University Ave, Green Bay, WI 54311-5855

Overview

Tyler Jessel is a Physician Assistant practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1649924358, which was assigned on February 10, 2022, and the registration record was last updated on February 20, 2025. The practitioner's main practice location is at 2851 University Ave, Green Bay, WI 54311-5855; the contact telephone number is 9204312500. The primary taxonomy of Tyler Jessel is Physician Assistant (363A00000X). Tyler Jessel is licensed to practice in the state of Wisconsin (#7716-23).

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.

Provider Information

NPI 1649924358
Entity Type Individual
Provider Name TYLER JESSEL
Gender Male
Credential PA-C
Practice Address 2851 University Ave
Green Bay
WI 54311-5855
Practice Telephone 9204312500
Mailing Address 2851 University Ave
Green Bay
WI 54311-5855
Mailing Telephone 9204312500
Certification Date 2025-02-20
Enumeration Date 2022-02-10
Last Update Date 2025-02-20
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y363A00000XPhysician Assistant7716-23WI

Taxonomy Information

Primary Taxonomy

Code 363A00000X
Taxonomy Physician Assistant
Classification Physician Assistant
Grouping Physician Assistants & Advanced Practice Nursing Providers
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.

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Location Information

Street Address 2851 UNIVERSITY AVE
City GREEN BAY
State WI
Zip Code 54311-5855
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
David Anderson 2851 University Ave, Green Bay, WI 54311-5855Dentist2016-08-24
Connor Mccarthy 2851 University Ave, Green Bay, WI 54311-5855Student in an Organized Health Care Education/Training Program2021-04-03
Lucas Joseph Sieving 2851 University Ave, Green Bay, WI 54311-5855Student in an Organized Health Care Education/Training Program2025-03-31
Morgan Berger 2851 University Ave, Green Bay, WI 54311-5855Pharmacist2017-08-03
Jennifer Ann Russell 2851 University Ave, Green Bay, WI 54311Student in an Organized Health Care Education/Training Program2017-09-27
Dmitri Mayer 2851 University Ave, Green Bay, WI 54311-5855Pharmacist2006-10-14
Fatema Al-Wahshi 2851 University Ave, Green Bay, WI 54311-5855Student in an Organized Health Care Education/Training Program2021-07-10
Aquila Lesko 2851 University Ave, Green Bay, WI 54311-5855Psychiatry Physician2021-03-25
Luke James Schuh 2851 University Ave, Green Bay, WI 54311-5855Student in an Organized Health Care Education/Training Program2023-04-24
Grace Madison Buechel 2851 University Ave, Green Bay, WI 54311-5855Student in an Organized Health Care Education/Training Program2025-04-07
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Lori Ann Keisic Hummel · Lori Ann Keisic Grillo 1160 Kepler Dr, Green Bay, WI 54311Physical Therapist2012-04-23
Gabrielle Arline Rutherford 2581 Development Dr, Green Bay, WI 54311-4247Registered Nurse2025-03-10
Brittany Shoemaker 2633 Development Dr Ste 40, Green Bay, WI 54311-4239Dental Hygienist2025-09-29
Hannah E Miller · Hannah E Podvin 2617 Development Dr, Green Bay, WI 54311-4240Physician Assistant2018-08-01
Power of Peace Housing and Recovery Service LLC 4414 Nicolet Dr Bay Wi54311, Green Bay, WI 54311-1100Assisted Living Facility (Behavioral Disturbances)2025-03-01
Jennifer M Wachowiak 1496 Bellevue St Ste 502, Green Bay, WI 54311-4251Psychiatric/Mental Health Nurse Practitioner2025-08-25
Golden Counseling, LLC 2563 Development Dr, Green Bay, WI 54311-4246Community/Behavioral Health Agency2025-06-19
Amritha Chandrahasa Karkera 2845 Greenbrier Rd, Green Bay, WI 54311Hematology & Oncology Physician2010-07-21
Taylor Lauren Shefchik · Taylor Smiley 2617 Development Dr, Green Bay, WI 54311-4240Physician Assistant2024-10-02
Semyon Zarkhin 2617 Development Dr, Green Bay, WI 54311-4240Dermatology Physician2007-07-23
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.