Elizabeth Amato, PHYSICIAN ASSISTANT
Individual provider Active NPI Physician Assistant · Milwaukee, WI
NPI 1093416554 · NPPES record last updated Apr 1, 2024
Key facts
- NPI
- 1093416554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 7455 (WI)
- Practice address
- 9200 W Wisconsin Ave
Milwaukee, WI 53226-3522 - Phone
- (414) 955-7040
- Fax
- (414) 955-0175
- NPI assigned
- Mar 13, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Medical College of Wisconsin Inc
Practice addresses (Care Compare)
8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666
8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666
Hospital & facility affiliations
- Froedtert Memorial Lutheran Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.99 of 100
- Quality
- 82.81
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.15
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230802003952 | WI | Practitioner - Physician Assistant | 6709247083 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7455 | WI | MD | Physician Assistant |
Interoperability endpoints
- ehorn586688@direct.froedtert.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7455 | WI | Yes |
Addresses
Primary practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Mailing address
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 955-7040
Other practice location 1
W180N8085 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 251-1000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093416554 | Medicaid | WI |
Other names
- Elizabeth Horn
Other providers in Milwaukee, WI
- Marwan Aly
- Rania Alzubeidi
- Tanya Amal
- Reese Tarik Aman
- Joseph Lee Amaral Jr.
- Margaret Amato
- Ann Marie Amaya
- Amazing Angels Comfort and Supportive Home Care LLC
- Amazing Care Group Home LLC
- Amar Vijay Ambardekar
All providers in Milwaukee, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.