Oak Medical SC - Medicare Primary Care in Waukesha, WI

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Oak Medical SC is a medicare enrolled primary clinic (Internal Medicine) in Waukesha, Wisconsin. The current practice location for Oak Medical SC is N20w22961 Watertown Rd, Waukesha, Wisconsin. For appointments, you can reach them via phone at (262) 875-5070. The mailing address for Oak Medical SC is N20w22961 Watertown Rd, Waukesha, Wisconsin and phone number is (262) 875-5070.

Oak Medical SC is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1669910345. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (262) 875-5070.

Contact Information

Oak Medical SC
N20w22961 Watertown Rd
Waukesha
WI 53186-1308
(262) 875-5070
(866) 384-9486

Map and Direction


Primary Care Clinic Profile

Full NameOak Medical SC
SpecialityInternal Medicine
LocationN20w22961 Watertown Rd, Waukesha, Wisconsin
Authorized Official Name and PositionMahtab Sidhu (MEDICAL DIRECTOR)
Authorized Official Contact2628755070
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Oak Medical SC
N20w22961 Watertown Rd
Waukesha
WI 53186-1308

Ph: (262) 875-5070		Oak Medical SC
N20w22961 Watertown Rd
Waukesha
WI 53186-1308

Ph: (262) 875-5070

NPI Details:

NPI Number1669910345
Provider Enumeration Date02/02/2017
Last Update Date06/02/2026
Certification Date06/02/2026

Medicare PECOS Information:

Medicare PECOS PAC ID0042595175
Medicare Enrollment IDO20170331001848

Medical Identifiers

Medical identifiers for Oak Medical SC such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669910345NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine ()Primary
208100000XPhysical Medicine & Rehabilitation ()Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health ()Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Oak Medical SC acts as a billing entity for following providers:
Provider NameJulie K Rivers
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1518953843
PECOS PAC ID: 3577457548
Enrollment ID: I20040211000030
Provider NameTerri Ann Hahn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265587976
PECOS PAC ID: 3274428016
Enrollment ID: I20040219000489
Provider NameMichele Elizabeth Brogunier
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1821014036
PECOS PAC ID: 9436049210
Enrollment ID: I20040316001236
Provider NameMichael E Sullivan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093883142
PECOS PAC ID: 1153308887
Enrollment ID: I20040701000385
Provider NameRita L Stowe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1770508863
PECOS PAC ID: 8224000542
Enrollment ID: I20040809000242
Provider NameQefli Neziri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922109230
PECOS PAC ID: 6709827819
Enrollment ID: I20050519000230
Provider NamePradeep Giriyappa
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891803862
PECOS PAC ID: 6507802055
Enrollment ID: I20050706000597
Provider NameLinda C Tampa
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1730105750
PECOS PAC ID: 8527097757
Enrollment ID: I20050809000168
Provider NameColleen M Poggenburg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558306407
PECOS PAC ID: 8224053947
Enrollment ID: I20051012000314
Provider NameTraci a Freiberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497860563
PECOS PAC ID: 5890717904
Enrollment ID: I20060103000403
Provider NameHarry Hostetler
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1093775090
PECOS PAC ID: 5092718056
Enrollment ID: I20060811000032
Provider NameNabeel M Beg
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396771069
PECOS PAC ID: 5597786681
Enrollment ID: I20060818000330
Provider NameRyan D Holzmacher
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598700601
PECOS PAC ID: 7214909761
Enrollment ID: I20060905000204
Provider NameGerald J Gilliland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700844529
PECOS PAC ID: 8729085402
Enrollment ID: I20061024000080
Provider NameVictoria L Vande Zande
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083711279
PECOS PAC ID: 1658373550
Enrollment ID: I20070206000341
Provider NameVirginia H Trzebiatowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003938143
PECOS PAC ID: 2365549110
Enrollment ID: I20070514000217
Provider NameSarfraz Sidhu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1801946462
PECOS PAC ID: 2860591278
Enrollment ID: I20070626000677
Provider NameAna Perelman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1295936409
PECOS PAC ID: 2062504475
Enrollment ID: I20070815000253
Provider NameLindsay M Janda
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1386836914
PECOS PAC ID: 7810082369
Enrollment ID: I20070928000566
Provider NameDenielle M Beilfuss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477741007
PECOS PAC ID: 6103913702
Enrollment ID: I20071029000743
Provider NameMichael a Umland
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518920578
PECOS PAC ID: 2062593023
Enrollment ID: I20080115000827
Provider NameGislaine E Tsemo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851351068
PECOS PAC ID: 1456388750
Enrollment ID: I20081017000195
Provider NameSuzanne V Powell
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1265458053
PECOS PAC ID: 6709777444
Enrollment ID: I20081030000730
Provider NameMahtab K Sidhu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700866365
PECOS PAC ID: 7012077555
Enrollment ID: I20081113000641
Provider NameRamandeep Sachdeva
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1619150166
PECOS PAC ID: 5092881565
Enrollment ID: I20090107000464
Provider NameTracy Jessogne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578718490
PECOS PAC ID: 6305909367
Enrollment ID: I20090116000443
Provider NameSyed T Ali
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023207586
PECOS PAC ID: 9638268865
Enrollment ID: I20090914000419
Provider NameSaima T Akbar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407011497
PECOS PAC ID: 7416003660
Enrollment ID: I20090914000426
Provider NameMichael E Hiebert
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407841224
PECOS PAC ID: 3678612066
Enrollment ID: I20091124000378
Provider NameMary a Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972598753
PECOS PAC ID: 7810038056
Enrollment ID: I20100109000092
Provider NameJaswinder K Sidhu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073628509
PECOS PAC ID: 7517000516
Enrollment ID: I20100129000344
Provider NameSteven Nichols
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1518991199
PECOS PAC ID: 9830234897
Enrollment ID: I20100303000081
Provider NameRobert a Fasano
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1770666471
PECOS PAC ID: 0244360691
Enrollment ID: I20100610000610
Provider NameJeremy J Wojtecki
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1871812180
PECOS PAC ID: 5395861371
Enrollment ID: I20100928000058
Provider NameJustin Ngene
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265637128
PECOS PAC ID: 0749472637
Enrollment ID: I20101011000686
Provider NameKristin M Lavenhagen
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1154635860
PECOS PAC ID: 8123210838
Enrollment ID: I20101012001269
Provider NameTracy L Thode
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1558682088
PECOS PAC ID: 4587857107
Enrollment ID: I20101014001446
Provider NameMaria G Cruz-apolinario
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1215926795
PECOS PAC ID: 3173716057
Enrollment ID: I20101023000278
Provider NameKeshni Ramnanan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1952541849
PECOS PAC ID: 4981891892
Enrollment ID: I20101203001119
Provider NameStacy L Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1598078867
PECOS PAC ID: 2264613314
Enrollment ID: I20110222000778
Provider NameKevin P Tucker
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1295809036
PECOS PAC ID: 7214114131
Enrollment ID: I20110601000846
Provider NameLeigh Anne Mcgough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285921353
PECOS PAC ID: 8527237551
Enrollment ID: I20110809000596
Provider NameKathy L Obermann
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003100033
PECOS PAC ID: 0941479885
Enrollment ID: I20110809000780
Provider NameJasdeep S Sidhu
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1740485440
PECOS PAC ID: 5294905683
Enrollment ID: I20110822000374
Provider NameSarah Lynn Wassink
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255614830
PECOS PAC ID: 0941472104
Enrollment ID: I20111012000092
Provider NameTeresa a Sanford
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356320055
PECOS PAC ID: 8224060744
Enrollment ID: I20111207000244
Provider NameShuba Samuel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326324385
PECOS PAC ID: 3678749538
Enrollment ID: I20111228000058
Provider NameSurendra Patel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265748404
PECOS PAC ID: 1850555145
Enrollment ID: I20120618000561
Provider NameChristine Larson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740566223
PECOS PAC ID: 0143470815
Enrollment ID: I20121016000276
Provider NameChris E Anibal
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316263569
PECOS PAC ID: 7810029659
Enrollment ID: I20121029000183
Provider NameNahdika a Berry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417218132
PECOS PAC ID: 2264678887
Enrollment ID: I20130425000676
Provider NameKathryn J Smrz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972938314
PECOS PAC ID: 5991949000
Enrollment ID: I20130911000342
Provider NameAmelia L Zellner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851724520
PECOS PAC ID: 1658505722
Enrollment ID: I20131002000566
Provider NameTerri R Roberts
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841613148
PECOS PAC ID: 7810127883
Enrollment ID: I20140313001498
Provider NameSandi L Kindig Oguzlu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184049595
PECOS PAC ID: 2860625498
Enrollment ID: I20140505002155
Provider NameLeslie a Lehrer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083025977
PECOS PAC ID: 4082838040
Enrollment ID: I20140612001229
Provider NameKristi K Grudzinski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669887246
PECOS PAC ID: 3779708847
Enrollment ID: I20140703000230
Provider NameTiffany L Schwabe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558776823
PECOS PAC ID: 8022235142
Enrollment ID: I20140814000404
Provider NameCasey J Brown
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487053005
PECOS PAC ID: 9032330253
Enrollment ID: I20141031000502
Provider NameMonica L Schuster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740683036
PECOS PAC ID: 1153644729
Enrollment ID: I20150107000531
Provider NameJennifer I Jordan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255739470
PECOS PAC ID: 1850618901
Enrollment ID: I20150330000620
Provider NameJennifer N Berger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093181893
PECOS PAC ID: 0042527947
Enrollment ID: I20150909001907
Provider NameMuniba Chohan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063816031
PECOS PAC ID: 4688982481
Enrollment ID: I20150928002515
Provider NameZerene Stephen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518336890
PECOS PAC ID: 6305154667
Enrollment ID: I20151006002368
Provider NameMelissa Koss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1437527389
PECOS PAC ID: 2466761952
Enrollment ID: I20151023001037
Provider NameSandra K Matzke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1417320698
PECOS PAC ID: 2769783760
Enrollment ID: I20151216001917
Provider NameCatherine a Hernandez
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1922472422
PECOS PAC ID: 6406158328
Enrollment ID: I20160111000371
Provider NameDorthia D Cameron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669838496
PECOS PAC ID: 8022314582
Enrollment ID: I20160309000814
Provider NameRebecca E Halverson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760843908
PECOS PAC ID: 3375841893
Enrollment ID: I20160418001414
Provider NameTesfaye H Gebremedhin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1780927657
PECOS PAC ID: 5799077483
Enrollment ID: I20160718001163
Provider NameSaif Ramay
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1528313038
PECOS PAC ID: 0547492951
Enrollment ID: I20160823002203
Provider NameKaren S Lim
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316073836
PECOS PAC ID: 4981834447
Enrollment ID: I20161220001597
Provider NamePuneet S Dhillon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073855474
PECOS PAC ID: 3274816327
Enrollment ID: I20170215001177
Provider NameAbel H Irena
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1205255650
PECOS PAC ID: 7810270626
Enrollment ID: I20170712003683
Provider NameHannah J Jochman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275056285
PECOS PAC ID: 4789958836
Enrollment ID: I20170928000422
Provider NameLaura Saltzmann
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1518485283
PECOS PAC ID: 0547535734
Enrollment ID: I20171016000596
Provider NameRose Vidmar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386196210
PECOS PAC ID: 9234405473
Enrollment ID: I20171016003288
Provider NameIyaku Terrell Russ
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285968461
PECOS PAC ID: 6507143898
Enrollment ID: I20171023001392
Provider NameShayla Jefferson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669926564
PECOS PAC ID: 4880975200
Enrollment ID: I20171201002010
Provider NameGwen E Herzog
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467832667
PECOS PAC ID: 7012289747
Enrollment ID: I20180212000692
Provider NameBret K Stysly
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104188416
PECOS PAC ID: 8224344544
Enrollment ID: I20180702002370
Provider NameDaniel Joseph Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194104075
PECOS PAC ID: 5597060905
Enrollment ID: I20180813002491
Provider NameLaura Swett
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588062947
PECOS PAC ID: 6406105188
Enrollment ID: I20180814003777
Provider NameDavid Joseph Schwanebeck
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1508277856
PECOS PAC ID: 3577785799
Enrollment ID: I20180830000131
Provider NameElizabeth Schmalfeldt
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578053823
PECOS PAC ID: 8527318773
Enrollment ID: I20180910000224
Provider NameKessa a Erickson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700171857
PECOS PAC ID: 5991055956
Enrollment ID: I20180912002511
Provider NameElizabeth King
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1649478843
PECOS PAC ID: 2264564749
Enrollment ID: I20181009000063
Provider NameElizabeth Jarecki
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053886465
PECOS PAC ID: 4587903752
Enrollment ID: I20190306000281
Provider NameCarrie Lynn Materniak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568921641
PECOS PAC ID: 3173865904
Enrollment ID: I20190429000011
Provider NameDina P Sotola
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316398589
PECOS PAC ID: 0648564039
Enrollment ID: I20190605001050
Provider NameMohit Arora
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538423991
PECOS PAC ID: 9032424643
Enrollment ID: I20190613000610
Provider NameKaitlyn Solveson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023674983
PECOS PAC ID: 5193059012
Enrollment ID: I20190627000157
Provider NameMusette Paul
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346809548
PECOS PAC ID: 9436581154
Enrollment ID: I20191119001726
Provider NameHolly a Wallace
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124660592
PECOS PAC ID: 7214369735
Enrollment ID: I20191121000030
Provider NameMakenzie E Hatfield Kresch
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1043714009
PECOS PAC ID: 3173957883
Enrollment ID: I20200103001870
Provider NameJulie Anne Driscoll
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083012025
PECOS PAC ID: 1254632094
Enrollment ID: I20200106000953
Provider NameCourtney Lamm
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1376185819
PECOS PAC ID: 1052746468
Enrollment ID: I20200129003056
Provider NameKayla Scheid
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275163487
PECOS PAC ID: 7911334479
Enrollment ID: I20200221001017
Provider NameMorgan M Godfrey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558995522
PECOS PAC ID: 5890123970
Enrollment ID: I20200324002103
Provider NameCarmen D Papenfuss
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699300137
PECOS PAC ID: 2163852989
Enrollment ID: I20200420000606
Provider NameKhider Ak Elnimeiry
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477994671
PECOS PAC ID: 8325479868
Enrollment ID: I20200515002152
Provider NameAli Imran
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1861929580
PECOS PAC ID: 9537430046
Enrollment ID: I20200715000862
Provider NameJackie Sell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326506031
PECOS PAC ID: 7911325519
Enrollment ID: I20200914002747
Provider NameDana Diane Broyles
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1952910010
PECOS PAC ID: 7214355445
Enrollment ID: I20200921000013
Provider NameRoxanne Kleman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629697719
PECOS PAC ID: 2365861630
Enrollment ID: I20201006002117
Provider NameDolly Myers
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053707661
PECOS PAC ID: 4981949765
Enrollment ID: I20201007002200
Provider NamePaige Smithback
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1033744610
PECOS PAC ID: 7517386782
Enrollment ID: I20201008000116
Provider NameCarissa Marie Neuman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467068031
PECOS PAC ID: 0345660155
Enrollment ID: I20201016001273
Provider NameSusan Sears-leclair
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1265525117
PECOS PAC ID: 9830197870
Enrollment ID: I20201123002741
Provider NameKay Marie Walter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972108785
PECOS PAC ID: 3971916057
Enrollment ID: I20210111000061
Provider NameAman Shamaa
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1902326739
PECOS PAC ID: 9335411362
Enrollment ID: I20210122001572
Provider NameJudith Hummel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1073141495
PECOS PAC ID: 5395150619
Enrollment ID: I20210219000485
Provider NameSamreena Rizeq
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811574270
PECOS PAC ID: 4880001288
Enrollment ID: I20210401000089
Provider NameMansi Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720677925
PECOS PAC ID: 8426466517
Enrollment ID: I20210408001523
Provider NameJaime Emmons
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366842627
PECOS PAC ID: 2163643776
Enrollment ID: I20210507000896
Provider NameGina M Harron
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1821662040
PECOS PAC ID: 5991106692
Enrollment ID: I20210701003176
Provider NameRachel Sullivan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932706611
PECOS PAC ID: 6709288277
Enrollment ID: I20210707002152
Provider NamePeter Cherian
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871834036
PECOS PAC ID: 7517281165
Enrollment ID: I20210713002204
Provider NameAji B Njie
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1295120368
PECOS PAC ID: 5092016659
Enrollment ID: I20210817003864
Provider NameBrandee L Michels
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205498680
PECOS PAC ID: 7416352984
Enrollment ID: I20210820002137
Provider NameStephanie Antes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518542703
PECOS PAC ID: 4789080631
Enrollment ID: I20210901002052
Provider NameErin Marie Bayerl
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1992106033
PECOS PAC ID: 8224436001
Enrollment ID: I20211008000319
Provider NameSara J Stein
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477225167
PECOS PAC ID: 7315335411
Enrollment ID: I20211021003032
Provider NameTonesha Nicole Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760140461
PECOS PAC ID: 2668866559
Enrollment ID: I20220217002456
Provider NameShannon a Ziska
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902557218
PECOS PAC ID: 3375939846
Enrollment ID: I20220408002156
Provider NameMelissa M Burkhart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1689319394
PECOS PAC ID: 8123406170
Enrollment ID: I20220602001595
Provider NameSusan Lietz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285234526
PECOS PAC ID: 0244619591
Enrollment ID: I20220616002893
Provider NameYasir Yafai
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1205395381
PECOS PAC ID: 8224417357
Enrollment ID: I20220621002161
Provider NameIdiris Abdirahman Esse
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1457813420
PECOS PAC ID: 8628458932
Enrollment ID: I20220705001239
Provider NameMegan Hickson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639633282
PECOS PAC ID: 9638598428
Enrollment ID: I20220822001247
Provider NameAngelina Peterson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508431503
PECOS PAC ID: 5092116855
Enrollment ID: I20220824000175
Provider NameKatherine Elizabeth Andrew
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225757842
PECOS PAC ID: 4880079433
Enrollment ID: I20220916002746
Provider NameRachel Emily Rejniak
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003537150
PECOS PAC ID: 0042695207
Enrollment ID: I20220923002200
Provider NameStephani Placek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003541418
PECOS PAC ID: 4082090790
Enrollment ID: I20221004002110
Provider NameWhitney Hoffmann
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1730539206
PECOS PAC ID: 5799070447
Enrollment ID: I20221005001671
Provider NameSara Elizabeth Schlesner Vaughn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053055814
PECOS PAC ID: 6305212150
Enrollment ID: I20221019000519
Provider NameKimberly Collymore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912110305
PECOS PAC ID: 4981508421
Enrollment ID: I20221202001322
Provider NameRobbi M Tracy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700403821
PECOS PAC ID: 9537165279
Enrollment ID: I20221229000338
Provider NameAshley R Schwoerer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285344218
PECOS PAC ID: 5991175986
Enrollment ID: I20230109002237
Provider NameMolly F Mcneely
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316654825
PECOS PAC ID: 1052782265
Enrollment ID: I20230126001976
Provider NameKaylee Lynn Hawks
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003520255
PECOS PAC ID: 6507238987
Enrollment ID: I20230213000724
Provider NameMegan Kahue
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1033773288
PECOS PAC ID: 8123358025
Enrollment ID: I20230301001602
Provider NameMikayla Lynn Boettner
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013616473
PECOS PAC ID: 9739553611
Enrollment ID: I20230315002353
Provider NameKavisha Gandhi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679137434
PECOS PAC ID: 1850627332
Enrollment ID: I20230417001810
Provider NameBarbara Rebekah Demares
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336775170
PECOS PAC ID: 7214392646
Enrollment ID: I20230508001492
Provider NameSophia Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154085215
PECOS PAC ID: 0143688572
Enrollment ID: I20230616001977
Provider NameKuo Sheng Yang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508557323
PECOS PAC ID: 4880052596
Enrollment ID: I20230627002758
Provider NameMarcia Meyer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699463414
PECOS PAC ID: 7315951100
Enrollment ID: I20230705002175
Provider NameSarah Mcbride
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114406246
PECOS PAC ID: 4688925928
Enrollment ID: I20230707001381
Provider NameKieran E Mcavoy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316407372
PECOS PAC ID: 0840626123
Enrollment ID: I20230707002853
Provider NameRichard Belt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275064263
PECOS PAC ID: 1850643115
Enrollment ID: I20230731000081
Provider NameRebecca Joy Bland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144900606
PECOS PAC ID: 0042672990
Enrollment ID: I20230809003715
Provider NameKayla T Graff
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548948979
PECOS PAC ID: 3678935400
Enrollment ID: I20230810003615
Provider NameLogan Elyse Pockl
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407530934
PECOS PAC ID: 9830553346
Enrollment ID: I20230918002015
Provider NameScott David Hellmich
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1568178341
PECOS PAC ID: 2264887561
Enrollment ID: I20231005003068
Provider NameSara M Peters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093599813
PECOS PAC ID: 9032564273
Enrollment ID: I20231009001800
Provider NameMaggie Rose Friede
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891389706
PECOS PAC ID: 4385090570
Enrollment ID: I20231024002782
Provider NameBrittany Kozlowski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992584528
PECOS PAC ID: 3072969955
Enrollment ID: I20231030000407
Provider NameVidallah Mulley Nordquist
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851175699
PECOS PAC ID: 6901258631
Enrollment ID: I20240118002561
Provider NameMarkecia Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285310136
PECOS PAC ID: 3274985494
Enrollment ID: I20240123003062
Provider NameKaitlin Zurick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265114961
PECOS PAC ID: 0446612097
Enrollment ID: I20240314000161
Provider NameNicole a Raczynski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1922858547
PECOS PAC ID: 9032550025
Enrollment ID: I20240508001181
Provider NameMegan Mae Kaczmarek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881464055
PECOS PAC ID: 6002257284
Enrollment ID: I20240520000676
Provider NameDonna Jean Webster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982457107
PECOS PAC ID: 2769924513
Enrollment ID: I20240607001018
Provider NameRiley Fugiasco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962267674
PECOS PAC ID: 5991240350
Enrollment ID: I20240710003805
Provider NameJessi Guden
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1760115547
PECOS PAC ID: 4082159348
Enrollment ID: I20240710003859
Provider NameJennifer Lyn Mauer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982483558
PECOS PAC ID: 0749725588
Enrollment ID: I20240716003588
Provider NameStephanie Marie Strohbeen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083291207
PECOS PAC ID: 9133527161
Enrollment ID: I20240823001015
Provider NameLori Schuerman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861015737
PECOS PAC ID: 2466860531
Enrollment ID: I20240829002489
Provider NameTracy L Bras
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1912343823
PECOS PAC ID: 5294018412
Enrollment ID: I20240916000332
Provider NameTara Leigh Benson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1124868187
PECOS PAC ID: 4183164171
Enrollment ID: I20240917001405
Provider NameKatelyn Ryman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1003598814
PECOS PAC ID: 6002348232
Enrollment ID: I20241014001409
Provider NameLisa Ann Rienow
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578110490
PECOS PAC ID: 2860925336
Enrollment ID: I20241023002046
Provider NameSylvester J Ndifor
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467277376
PECOS PAC ID: 0244768265
Enrollment ID: I20250103002137
Provider NameChristine M Mccall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306220553
PECOS PAC ID: 1153850805
Enrollment ID: I20250124000336
Provider NameTaylor Lynn Lidwin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427869593
PECOS PAC ID: 9830619246
Enrollment ID: I20250227003170
Provider NameMary Fe Deaton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144678434
PECOS PAC ID: 8628362878
Enrollment ID: I20250312002006
Provider NameColleen Kinjerski
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1225825334
PECOS PAC ID: 9436676087
Enrollment ID: I20250507000714
Provider NameAnita Paudel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619766193
PECOS PAC ID: 5799203063
Enrollment ID: I20250520002015
Provider NameStacy Lee Roland
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427770551
PECOS PAC ID: 2062931298
Enrollment ID: I20250521001853
Provider NameJolene Sara Josphine Finger
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1063912384
PECOS PAC ID: 6406368448
Enrollment ID: I20250625000763
Provider NameKathleen Ann Schwartz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811884398
PECOS PAC ID: 6709392814
Enrollment ID: I20250723003981
Provider NameCourtney Elizabeth Kraemer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780479048
PECOS PAC ID: 9133637143
Enrollment ID: I20250801001033
Provider NameJuliet Mpanja
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215812185
PECOS PAC ID: 7113246992
Enrollment ID: I20250827000894
Provider NameKirsten Bates
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881090769
PECOS PAC ID: 6204337678
Enrollment ID: I20250828000050
Provider NameChristine Ann Malechek
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104790427
PECOS PAC ID: 6608363007
Enrollment ID: I20251017000860
Provider NameKaitlyn Rauwerdink
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1417455817
PECOS PAC ID: 7719248442
Enrollment ID: I20251021000157
Provider NameCourtney Marie Sterzinger
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1922976323
PECOS PAC ID: 7719479286
Enrollment ID: I20251121003033
Provider NameSheri Erickson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326585704
PECOS PAC ID: 7517226046
Enrollment ID: I20251210001604
Provider NameCaroline Cibulka
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1740153444
PECOS PAC ID: 1153815543
Enrollment ID: I20251212001915
Provider NameKaitlyn Marie Hetzel Handel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1497567408
PECOS PAC ID: 6901328939
Enrollment ID: I20260112002034
Provider NameAmanda Lee Bonk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154277218
PECOS PAC ID: 7214412261
Enrollment ID: I20260327003137
Provider NameJennifer Frances Lubrano
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548118284
PECOS PAC ID: 5890089767
Enrollment ID: I20260331000035
Provider NameJennifer Sutton
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992057889
PECOS PAC ID: 9032355326
Enrollment ID: I20260416003275
Provider NameLily Van Vreede
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306787387
PECOS PAC ID: 1658849286
Enrollment ID: I20260501001919
Provider NameMegan M Buboltz
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1679463905
PECOS PAC ID: 2365910841
Enrollment ID: I20260504004876

Reviews and Comments

Other Primary Care Clinics in Waukesha, WI

Waukesha Family Practice Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 210 Nw Barstow St, Suite 201, Waukesha, WI 53188
Phone: 262-548-6903    Fax: 262-928-4075
Spring City Health Centre
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 403 N Grand Ave, Waukesha, WI 53186
Phone: 262-547-3055    
Chestnut Medicine of Wi Ltd
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1451 Cleveland Ave, Waukesha, WI 53186
Phone: 262-547-2123    Fax: 262-547-6204
Verma Medical Services, S.C.
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 721 American Ave, Suite#409, Waukesha, WI 53188
Phone: 262-928-8610    Fax: 262-928-8615
Prohealth Care Medical Associates
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: N4w22370 Bluemound Rd, Waukesha, WI 53186
Phone: 262-928-4880    Fax: 262-547-8820
Nuderma Med Spa and Wellness Center
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: N14w23777 Stone Ridge Dr Ste 290, Waukesha, WI 53188
Phone: 262-716-7580    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.