Jenna K. Provance, PA-C
NPI 1699295626ActiveIndividual· Physician Assistant· Sheboygan, WI
Physician Assistant (PA-C) with Aurora Medical Group, Inc. and 1 other group, practicing in Sheboygan, Wisconsin. 173 Medicare patients in 2024, $20,314 paid; all of their 321 Part D prescriptions were generic. Lists Aurora Medical Center Sheboygan County and 1 other hospital as hospital affiliations.
Overview
| NPI | 1699295626 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Jun 21, 2017 |
| Last updated in NPPES | Dec 1, 2021 |
| Certified by provider | Dec 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 4027-23 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 173 |
|---|---|
| Services billed | 314 across 33 procedure codes |
| Paid by Medicare | $20,314 |
Part D prescriptions in 2024
| Prescriptions (claims) | 321 · 420 30-day fills |
|---|---|
| Patients | 111 |
| Total drug cost | $3,317 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical groups
- Aurora Medical Group, Inc.Milwaukee, WI · 3,813 clinicians
- Progressive Beginnings, LLCSheboygan, WI · 17 clinicians
Hospital affiliations
- Aurora Medical Center Sheboygan CountySheboygan, WI
- Aurora Medical Ctr Manitowoc CountyTwo Rivers, 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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