Jennifer Gunderson
NPI 1366175986ActiveIndividual· Physician Assistant, Medical· Beloit, WI
Physician Assistant, Medical in Beloit, Wisconsin, trained at University of Wisconsin School of Medicine (class of 2023). 97 Medicare patients in 2024, $8,688 paid; nearly all of their 168 Part D prescriptions were generic (95%).
Overview
| NPI | 1366175986 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jul 1, 2022 |
| Last updated in NPPES | Jan 30, 2024 |
| Certified by provider | Jan 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | 7374-23 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (IL); Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 97 |
|---|---|
| Services billed | 132 across 22 procedure codes |
| Paid by Medicare | $8,688 |
Part D prescriptions in 2024
| Prescriptions (claims) | 168 · 170 30-day fills |
|---|---|
| Patients | 124 |
| Total drug cost | $3,685 |
| Generic share | 95% of claims |
Education and affiliations
| Medical school | University of Wisconsin School of Medicine |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Physician Assistant |
Medical groups
- Stoughton Hospital AssociationStoughton, WI · 66 clinicians
- Swea Fort SCFort Atkinson, WI · 52 clinicians
- Southern Wisconsin Emergency Associates SCBeloit, WI · 50 clinicians
- Edgerton Hospital and Health Services, IncWhitewater, WI · 43 clinicians
Hospital affiliations
- Fort Memorial HospitalFort Atkinson, WI
- Stoughton HospitalStoughton, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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