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NPI · 1164462792 · NPPES-sourced

Jennifer Black Pac

ActivePhysician Assistant
NPI Number
1164462792
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(715) 536-5511
License WI · 1910
Last Updated
Enumerated
Primary practice addressWI · 54452-3404
601 S Center AveMerrill, WI 54452-3404
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About this NPIWhat this record shows.

NPI 1164462792 is registered to Jennifer Black Pac, a Physician Assistant practising at 601 S Center Ave in Merrill, Wisconsin. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Jennifer Black Pac has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • 1910WI· Issued by WI STATE LIC

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Jennifer Black Pac accepts. To confirm in-network status with your specific health plan, contact Jennifer Black Pac directly at (715) 536-5511.

Frequently asked

Yes. NPI 1164462792 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (715) 536-5511.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Jennifer Black Pac is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
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8 records · same addressOther providers at this location.

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Same specialtyOther Physician Assistant providers in Wisconsin.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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