NPPES file of Aug 9, 2026

Jenna Lelsey Sullivan, OD

Optometrist · Kaukauna, WI

Jenna Lelsey Sullivan, OD is an optometrist with a practice address in Kaukauna, Wisconsin, and NPI 1366936932, issued on Jun 18, 2018. Check the license (Wisconsin 3564-35, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1366936932
Name
Jenna Lelsey Sullivan
Credential
OD
Primary taxonomy
Optometrist 152W00000X
License numbers
3564-35 WI
OPC5544 FL
Self-reported in NPPES; status is on the state search
Practice location
1 Bank Ave, Kaukauna, WI 54130
Phone
(920) 766-2481
Enumerated
Jun 18, 2018
Record last updated
Jul 2, 2019 (not updated in 7 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20190715003001); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1 Bank Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Mark Ebben, OD OPTOMETRISTOptometrist1255389201
  2. Mary Schroeder, ODOptometrist1730602467

Verify Jenna Lelsey Sullivan in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
    Search for license 3564-35
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
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21% fewer Medicare Part D claims than the average optometrist in 2024

219 Medicare Part D claims for 58 beneficiaries, against an average of 277 among the 33,128 providers of this specialty who prescribed in Part D. Brand-name drugs were 46% of claims.

  1. Jenna Sullivan219
  2. Specialty average277

Most prescribed

  1. Latanoprost137 claims
  2. Timolol Maleate23 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bills Medicare through one group practice

  1. Magiera Eyecare LLCKaukauna, WI

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jenna Lelsey Sullivan among 1,161 optometrist records in Wisconsin

Jenna Lelsey Sullivan, OD is one of 1,161 optometrist records with a practice address in Wisconsin. 74% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2018, is newer than 81% of them.

  • NPI issued2018 · 81% of these records are older, 17% newer
  • In a Medicare fileYes · 74% of these records are
  • In the CMS Doctors and Clinicians fileYes · 65% of these records are
  • Graduated2018 · median 2008 among the 752 with a school on file
  • Record last updated2019 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 152W00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

4 optometrist records list a practice address in Kaukauna

They are 4 of the 137 NPPES records with a practice address in Kaukauna, and 1,161 optometrist records in Wisconsin.

The 8 optometrist records with the nearest ZIP codes

  1. Mark Ebben, OD OPTOMETRISTKaukauna, WI 541301255389201
  2. Mary Schroeder, ODKaukauna, WI 541301730602467
  3. David Vanderloop, O.D.Kaukauna, WI 541301851344642
  4. Robert Chelberg, O.D.Keshena, WI 541351225033137
  5. Nicholas Keszo, O.D.Keshena, WI 541351710928916
  6. Steven Drake, ODGillett, WI 541241811993462
  7. Adrian Ebben, ODKimberly, WI 541361053397042
  8. Andrew Magiera, ODKimberly, WI 541361659331551

Common questions

What is Jenna Lelsey Sullivan, OD's NPI number?

Jenna Lelsey Sullivan, OD's National Provider Identifier (NPI) is 1366936932, issued on Jun 18, 2018. An NPI identifies a provider in billing; it is not a license.

Where is Jenna Lelsey Sullivan, OD located?

The NPPES record lists a practice address at 1 Bank Ave, Kaukauna, WI, 54130. Phone: (920) 766-2481. Providers update this record themselves, so call before visiting.

How can I verify Jenna Lelsey Sullivan, OD's license?

NPPES lists Wisconsin license number 3564-35, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.

How much does Jenna Lelsey Sullivan, OD prescribe under Medicare Part D?

In 2024, Jenna Lelsey Sullivan, OD had 219 Medicare Part D claims for 58 beneficiaries; the average among optometrist prescribers was 277. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.