Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremy Alan Pomplun, PA-C

Individual provider Physician Assistant · NPI 1578084570

Jeremy Alan Pomplun, PA-C is a Physician Assistant in Appleton, Wisconsin. Qualified in 2017, 9 years ago. Practices with Emergency Medicine Specialists SC, a 220-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1506 S Oneida St
Appleton, WI 54915-1305
Phone: (414) 290-6720
Fax: (414) 290-6755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 S Oakwood Rd, Oshkosh, WI 54904-7944 — (414) 290-6720

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4037-23 (WI)

Record details

NPI number1578084570
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 29, 2017
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Emergency Medicine Specialists Sc — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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