Individual provider

Jaime Pechacek, PA-C

Surgical Physician Assistant Medical Physician Assistant Medicare enrolled

Jaime Pechacek, PA-C is a Surgical Physician Assistant in Madison, WI, registered under NPI 1396223095. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 4602 EASTPARK BLVD, Madison, WI 53718. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

4602 EASTPARK BLVD, Madison, WI 53718 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
4494-23 WI Surgical Physician Assistant primary
4494-23 WI Medical Physician Assistant

This provider holds licence 4494-23 issued in WI. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Physician Assistant
PAC ID
6103177381

Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Surgical covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363AS0400X
Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Surgical

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363AS0400X Surgical Physician Assistant Surgical 4494-23 WI primary
363AM0700X Medical Physician Assistant Medical 4494-23 WI

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1396223095 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 3, 2018
Last updatedMay 4, 2023
StatusActive
Sole proprietorNo
CredentialPA-C
Practice address 4602 EASTPARK BLVD
Madison, WI 53718
(608) 440-6300
Mailing address 7974 UW HEALTH CT
Middleton, WI 53562
The last update on file is May 4, 2023. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1396223095 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 9 6 2 2 3 0 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 9 6 4 2 6 0 9

Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1396223095?
NPI 1396223095 is the National Provider Identifier assigned to Jaime Pechacek, PA-C in Madison, WI. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Surgical cover?
Definition to come...
How do I contact Jaime Pechacek, PA-C?
The phone number on file with NPPES is (608) 440-6300, last updated May 4, 2023. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jaime Pechacek, PA-C accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1396223095 a valid number?
Yes. 1396223095 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.