Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Jared Matthew Mclister, PAC

Physician Assistant in Appleton, WI · enumerated 2010.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679805105

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Registry record

Entity type Individual (Type 1)

Name Jared Matthew Mclister

Credential PAC

Sex Male

Practice address 2400 E Capitol Dr, Appleton, WI, 54911

Phone (920) 831-5050

Fax (920) 738-6400

Enumeration date Feb 9, 2010

Last updated in NPPES Jan 28, 2025

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 10698 (MN) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 4316-23 (WI) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where does Jared Mclister practice?

The practice location on file with NPPES is in Appleton, WI. Providers can have multiple locations; NPPES lists the primary practice address.

What is the NPI number for Jared Mclister?

The National Provider Identifier (NPI) for Jared Mclister is 1679805105, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-28.