Individual provider Active NPI

Benjamin Alton Cuvelier, PA-S

  • Physician Assistant
  • Waukesha, WI
National Provider Identifier
1003434978
Registry record updated Jul 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
132 Cambridge Ave Apt 407
Waukesha, WI 53188-4788
Phone
(319) 415-3496
NPI assigned
Jul 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

132 Cambridge Ave Apt 407
Waukesha, WI 53188-4788

Mailing address

132 Cambridge Ave Apt 407
Waukesha, WI 53188-4788
Phone (319) 415-3496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240126000793 IA Practitioner - Physician Assistant 3375926827 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peoples Community Health Clinic, Inc.Group PAC ID 6406746668, 29 clinicians

Practice addresses (Care Compare)

905 Franklin St
Waterloo, IA 50703-4407
Phone (319) 874-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
14141MNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Laboratory Corporation of America Holdings Current Accepting new patients
Peoples Community Health Clinic, Inc CurrentSince Jan 10, 2024 Accepting new patients
Peoples Community Health Clinic, Inc. CurrentSince Jan 10, 2024 Accepting new patients

Locations

905 Franklin St
Waterloo, IA 50703
Phone (319) 272-4300

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CGDADA/Endpoint/CGDADA
  • Direct secure messaging: bcuvelier662591@direct.ochin.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1594166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1003434978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 CAMBRIDGE AVE APT 407",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531884788",
            "telephone_number": "319-415-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 CAMBRIDGE AVE APT 407",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531884788",
            "telephone_number": "319-415-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUVELIER",
        "first_name": "BENJAMIN",
        "middle_name": "ALTON",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-08",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.