Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jared M. Kohlenberg, DO

Individual provider Family Medicine Physician · NPI 1548498298

Jared M. Kohlenberg, DO is a Family Practice in Green Lake, Wisconsin. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2009, 17 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
17
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
WI
In the registry since
2009
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

670 County Road A
Green Lake, WI 54941-8608
Phone: (920) 294-0100
Fax: (920) 294-0123
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 57315-21 (WI)

Record details

NPI number1548498298
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 1, 2009
Last updated in NPPESMay 14, 2015
Mailing address670 County Road A, Green Lake, WI 54941-8608

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2009 (17 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations16 on file with Medicare

Other providers in Green Lake