Individual provider Active NPI

Emily Josephine Staudt, PA-C

  • Physician Assistant
  • Madison, WI
National Provider Identifier
1033631361
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
4054-23 Issued in WI
Practice address
750 University Row
Madison, WI 53705-1311
Phone
(608) 890-5000
NPI assigned
Jul 7, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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 4054-23 WI Primary

Addresses

Primary practice location

750 University Row
Madison, WI 53705-1311

Mailing address

5330 Brody Dr
Madison, WI 53705-1330
Phone (712) 790-4821

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address estaudt852069@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170921001494 WI Practitioner - Physician Assistant 8325312879 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 S Park St
Madison, WI 53715-1375
Phone (608) 287-2000

2651 Windsor St
Sun Prairie, WI 53590-9825
Phone (608) 837-2206

2977 County Hwy CX
Portage, WI 53901-9271
Phone (608) 287-2770

4131 Meridian Dr
Windsor, WI 53598-9699
Phone (608) 846-3741

500 Midland CT
Janesville, WI 53546-2341
Phone (608) 916-2600

600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400

705 S University Ave
Suite 200
Beaver Dam, WI 53916-3079
Phone (920) 887-9272

7102 Mineral Point Rd
Madison, WI 53717-1706
Phone (608) 828-7603

750 University Row
Madison, WI 53705-1311
Phone (608) 890-5000

7974 Uw Health CT
Middleton, WI 53562-5531

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Sep 11, 2017 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Sep 11, 2017 Accepting new patients

Locations

750 University Row
Madison, WI 53705
Phone (608) 890-5000

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

Interoperability endpoints

  • Direct secure messaging: acutler1224757@direct.uwhealth.org
  • Direct secure messaging: estaudt924109@direct.unitypoint.org
  • Direct secure messaging: estaudt852069@direct.uwhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1499385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1033631361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 BRODY DR",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537051330",
            "telephone_number": "712-790-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 UNIVERSITY ROW",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537051311",
            "telephone_number": "608-890-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUDT",
        "first_name": "EMILY",
        "middle_name": "JOSEPHINE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-07",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4054-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "estaudt852069@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "600 Highland Ave",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537920001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

Verify at the official NPI Registry.