Active NPI
Susan R Wilhelm, PA-C
- Medical Physician Assistant
- Madison, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 769-023
- Practice address
- 202 S Park St
Meriter Atrium
Madison, WI 53715-1507 - Phone
- (608) 417-5970
- Fax
- (608) 417-5966
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 769-023 | WI | |
| Surgical Physician Assistant | 363AS0400X | 769-023 | WI | |
| Medical Physician Assistant | 363AM0700X | 769-023 | WI | Primary |
Addresses
Primary practice location
202 S Park St
Meriter Atrium
Madison, WI 53715-1507
Mailing address
202 S Park St
Meriter Atrium
Madison, WI 53715-1507
Phone (608) 417-5970
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970010936 | Other | WI | RAILRAOD MEDICARE |
| 42949700 | Medicaid | WI | |
| 3962 | Other | WI | DEAN HEALTH INSURANCE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | swilhelm687146@direct.uwhealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041223000286 | WI | Practitioner - Physician Assistant | 0244298164 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
202 S Park St
Madison, WI 53715-1507
Phone (608) 287-2050
600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400
Hospital & facility affiliations
- Unitypoint Health - Meriter
- University of Wi Hospitals & Clinics Authority
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.32 of 100
- Quality
- 87.78
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.8
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 769-023 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current | Accepting new patients |
Locations
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
202 S Park St
Madison, WI 53715
Phone (608) 267-6000
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Middleton, WI
- NPI 1598784555
WI
-
- Health Educator
- Madison, WI
- NPI 1487414082
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Madison, WI
- NPI 1922043744
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1003865080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 S PARK ST",
"address_2": "MERITER ATRIUM",
"city": "MADISON",
"state": "WI",
"postal_code": "537151507",
"telephone_number": "608-417-5970",
"fax_number": "608-417-5966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 S PARK ST",
"address_2": "MERITER ATRIUM",
"city": "MADISON",
"state": "WI",
"postal_code": "537151507",
"telephone_number": "608-417-5970",
"fax_number": "608-417-5966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILHELM",
"first_name": "SUSAN",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-08",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "769-023",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WI",
"license": "769-023",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WI",
"license": "769-023",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "970010936",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42949700",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEAN HEALTH INSURANCE",
"identifier": "3962",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "swilhelm687146@direct.uwhealth.org",
"affiliation": "N",
"address_1": "202 S Park St",
"address_2": "Meriter Atrium",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151507",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.