Doctor profile · Federal record

Dr. Jenna Provance, PA-C

Physician Assistant · Sheboygan, WI

  • NPI 1699295626
  • Accepts Medicare
  • 9 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
2414 Kohler Memorial Dr
Sheboygan, WI 530813129
(920) 457-4461
Mailing address
2414 W Kohler Memorial Dr
Sheboygan, WI 53081

Credentials & registration

NPPES · NUCC
NPI registered
June 2017 — 9 yrs on file
Profile last updated
December 1, 2021
Year of graduation
2017 — 9 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Wisconsin #4027-23
Medicaid
WI #1699295626

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1699295626. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
239
Distinct HCPCS
7
Medicare allowed
$23,490
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 89 69 $103
99213 Established patient office or other outpatient visit, 20-29 minutes 66 54 $72
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion 20 13 $31
99203 New patient office or other outpatient visit, 30-44 minutes 19 19 $91
99215 Established patient office or other outpatient visit, 40-54 minutes 17 15 $146
63047 Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 15 15 $122
22633 Fusion of spine in lower back with partial removal of spine bone and disc 13 13 $220

In context: peer comparison

Among 16 peers in Sheboygan Physician Assistant, average services per provider: 87. This provider delivers 2.7× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
353
Patients
100
Total drug cost
$5,357
Drug Type Claims Patients Total cost
Gabapentin Generic 228 74 $3,260
Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) Brand 37 15 $274
Tramadol Hcl Generic 26 0 $36
Pregabalin Generic 20 0 $530
Cyclobenzaprine Hcl Generic 16 0 $45
Diazepam Generic 13 11 $11
Lidocaine Generic 13 0 $1,201

Frequently asked questions

Auto-generated from federal data
What is Dr. Jenna Provance's medical specialty?
Dr. Jenna Provance practices Physician Assistant in Sheboygan, WI.
Where does Dr. Jenna Provance practice?
Dr. Jenna Provance practices at 2414 Kohler Memorial Dr, Sheboygan, WI 530813129. Office phone: 9204574461.
What is Dr. Jenna Provance's NPI?
Dr. Jenna Provance's National Provider Identifier (NPI) is 1699295626, issued by NPPES.
Does Dr. Jenna Provance accept Medicare assignment?
Yes. Dr. Jenna Provance accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jenna Provance commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213); Insertion of cage or mesh device to spine bone and disc space during spine fusion (HCPCS 22853). Source: CMS Medicare Physician & Other Practitioners file.