Active NPI
Anna L King, PA
- Physician Assistant
- Appleton, WI
National Provider Identifier
1043862998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4732
- Practice address
- 1818 N Meade St
Appleton, WI 54911-3454 - Phone
- (920) 731-8900
- Fax
- (920) 225-1414
- NPI assigned
- Jul 11, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4732 | WI | Primary |
Addresses
Primary practice location
1818 N Meade St
Appleton, WI 54911-3454
Mailing address
122 E College Ave
Appleton, WI 54911-5794
Phone (920) 996-3264
Other practice location 1
100 County Road B
Shawano, WI 54166-7072
Phone (920) 731-8900
Other practice location 2
370 S Main St
Clintonville, WI 54929-1632
Phone (920) 731-8900
Other practice location 3
1405 Mill St
New London, WI 54961-2155
Phone (920) 731-8900
Other practice location 4
601 Grove Ave
Wild Rose, WI 54984-6903
Phone (920) 731-8900
Other practice location 5
225 Memorial Dr
Berlin, WI 54923-1243
Phone (920) 731-8900
Other practice location 6
200 Theda Medical Plaza
Suite 320
Neenah, WI 54956-2790
Phone (920) 722-3341
Other practice location 7
800 Riverside Dr
Waupaca, WI 54981-1943
Phone (920) 731-8900
Other names 1
- Anna L Marsicek
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 County Rd B
Shawano, WI 54166-7072
Phone (920) 725-4527
100 Theda Clark Medical PLZ
Suite 400
Neenah, WI 54956-2763
Phone (920) 725-4527
130 2ND St
Neenah, WI 54956-2883
Phone (920) 729-3100
Hospital & facility affiliations
- Thedacare Regional Med Ctr - Neenah
- Thedacare Medical Center - Shawano
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4732 | WI | MD | Physician Assistant |
Interoperability endpoints
- amarsicek164792@direct.thedacare.org
Organizations & group practices 1
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.
-
- Surgery Physician
- Neenah, WI
- NPI 1285792341
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Shawano, WI
- NPI 1548260839
-
- General Acute Care Hospital
- Neenah, WI
- NPI 1023472842
-
- General Acute Care Hospital
- Menasha, WI
- NPI 1720434806
-
- General Acute Care Hospital
- Neenah, WI
- NPI 1518993880
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1861943409
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1679937494
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562803200000",
"number": "1043862998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 E COLLEGE AVE",
"city": "APPLETON",
"state": "WI",
"postal_code": "549115794",
"telephone_number": "920-996-3264",
"fax_number": "920-830-5970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 N MEADE ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549113454",
"telephone_number": "920-731-8900",
"fax_number": "920-225-1414"
}
],
"practiceLocations": [
{
"address_1": "100 County Road B",
"address_purpose": "LOCATION",
"city": "Shawano",
"state": "WI",
"postal_code": "541667072",
"country_code": "US",
"telephone_number": "920-731-8900",
"fax_number": "920-225-1414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "370 S Main St",
"address_purpose": "LOCATION",
"city": "Clintonville",
"state": "WI",
"postal_code": "549291632",
"country_code": "US",
"telephone_number": "920-731-8900",
"fax_number": "920-738-5369",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1405 Mill St",
"address_purpose": "LOCATION",
"city": "New London",
"state": "WI",
"postal_code": "549612155",
"country_code": "US",
"telephone_number": "920-731-8900",
"fax_number": "920-225-1414",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 Grove Ave",
"address_purpose": "LOCATION",
"city": "Wild Rose",
"state": "WI",
"postal_code": "549846903",
"country_code": "US",
"telephone_number": "920-731-8900",
"fax_number": "920-738-5369",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "225 Memorial Dr",
"address_purpose": "LOCATION",
"city": "Berlin",
"state": "WI",
"postal_code": "549231243",
"country_code": "US",
"telephone_number": "920-731-8900",
"fax_number": "920-738-5369",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Theda Medical Plaza",
"address_2": "Suite 320",
"address_purpose": "LOCATION",
"city": "Neenah",
"state": "WI",
"postal_code": "549562790",
"country_code": "US",
"telephone_number": "920-722-3341",
"fax_number": "920-729-2119",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "800 Riverside Dr",
"address_purpose": "LOCATION",
"city": "Waupaca",
"state": "WI",
"postal_code": "549811943",
"country_code": "US",
"telephone_number": "920-731-8900",
"fax_number": "920-738-5369",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "ANNA",
"middle_name": "L",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-11",
"last_updated": "2019-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "4732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNA",
"last_name": "MARSICEK",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.