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

Mr. Jerome Joseph Wenninger Jr., PA-CMPAS

Individual provider Medical Physician Assistant · NPI 1609833755

Mr. Jerome Joseph Wenninger Jr., PA-CMPAS is a Physician Assistant in Rapid City, South Dakota. Qualified in 2004, 22 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group, accepts Medicare assignment and offers telehealth. Licensed in South Dakota.

Years since qualifying
22
Licensed in
SD
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

7220 S Highway 16
Rapid City, SD 57702-8708
Phone: (605) 341-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0975 (SD)
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1609833755
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-CMPAS
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESJanuary 18, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Rapid City