Jennifer Scidmore, PA-C
Jennifer Scidmore, PA-C is a Physician Assistant in Racine, Wisconsin. Qualified in 2012, 14 years ago. Practices with Providence Saint Johns Medical Foundation, a 285-clinician group and accepts Medicare assignment. Licensed in California and Wisconsin.
- Years since qualifying
- 14
- Licensed in
- CA, WI
- In the registry since
- 2015
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
3801 Spring StRacine, WI 53405
Phone: (262) 687-4011
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 54369 (CA) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 3698-23 (WI) |
| Nurse Practitioner | Taxonomy 363L00000X · Licence 3698-23 (WI) |
Record details
| NPI number | 1033583190 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | Yes |
| NPI enumerated | November 30, 2015 |
| Last updated in NPPES | June 26, 2021 |
| Certification date | June 26, 2021 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Providence Saint Johns Medical Foundation — 285 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |