Lacey L. Jandrin, PA-C
Physician Assistant · Green Bay, WI
Lacey L. Jandrin, PA-C is a physician assistant with a practice address in Green Bay, Wisconsin, and NPI 1104183516, issued on Apr 23, 2012. Check the license (Wisconsin 3761-23, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Lacey L. Jandrin
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License numbers
- 3761-23 WI
1135070 WI
4712 WI
Self-reported in NPPES; status is on the state search - Practice location
- 1970 S Ridge RD, Green Bay, WI 54304
- Phone
- (920) 430-4888
- Enumerated
- Apr 23, 2012
- Record last updated
- Jan 30, 2023
- Fax
- (920) 430-4889
- Medicare enrollment
- Enrolled (PECOS I20160707000393); accepts Medicare assignment
- Medical or professional school
- University Of North Dakota School Of Medicine, 2016
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 3,475 in Wisconsin → Look up another NPI →
Also registered at 1970 S Ridge RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Hilary Buruin, MS, LAT, ATCAthletic Trainer1124542790
- Samantha Casper, DPTPhysical Therapist1770275331
- Anna Debruin, PTPhysical Therapist1336769496
- Charles Decleene, PTPhysical Therapist1326002148
Verify Lacey L. Jandrin in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 3761-23Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
93% fewer Medicare Part D claims than the average physician assistant in 2024
61 Medicare Part D claims for 50 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims. 27 claims were for opioids.
Most prescribed
- Hydrocodone-Acetaminophen23 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
- Bellin Memorial Hospital IncGreen Bay, WI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Lacey L. Jandrin among 3,475 physician assistant records in Wisconsin
Lacey L. Jandrin, PA-C is one of 3,475 physician assistant records with a practice address in Wisconsin. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 39% of them.
- NPI issued2012 · 39% of these records are older, 57% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2016 · median 2016 among the 2,491 with a school on file
- Record last updated2023 · 38% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
182 physician assistant records list a practice address in Green Bay
They are 182 of the 4,619 NPPES records with a practice address in Green Bay, and 3,475 physician assistant records in Wisconsin.
All 3,475 in Wisconsin → Every provider in Green Bay → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Kasey Bantes-Behmke, PA-CGreen Bay, WI 543041194969105
- Maura Beardsley, PA-CGreen Bay, WI 543041588068902
- Penny Cornelius, PAGreen Bay, WI 543041184609331
- Lydia Emnott, PA-CGreen Bay, WI 543041821393000
- Andrew Godin, PA-CGreen Bay, WI 543041679911812
- Jared Kiernicki, PA-CGreen Bay, WI 543041376883397
- Angela Lamack, PAGreen Bay, WI 543041285634899
- Jeffrey Richards, PA-CGreen Bay, WI 543041760733133
Common questions
What is Lacey L. Jandrin, PA-C's NPI number?
Lacey L. Jandrin, PA-C's National Provider Identifier (NPI) is 1104183516, issued on Apr 23, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Lacey L. Jandrin, PA-C located?
The NPPES record lists a practice address at 1970 S Ridge RD, Green Bay, WI, 54304. Phone: (920) 430-4888. Providers update this record themselves, so call before visiting.
How can I verify Lacey L. Jandrin, PA-C's license?
NPPES lists Wisconsin license number 3761-23, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
How much does Lacey L. Jandrin, PA-C prescribe under Medicare Part D?
In 2024, Lacey L. Jandrin, PA-C had 61 Medicare Part D claims for 50 beneficiaries; the average among physician assistant prescribers was 830. 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.