Individual provider Active NPI

Andrea Jane Neault, PA

  • Physician Assistant
  • Winneconne, WI
National Provider Identifier
1104933548
Registry record updated Oct 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1901-023 Issued in WI
Doing business as
Andrea Jane Johanen
Practice address
6085 Harbour View Dr
Winneconne, WI 54986-8656
Phone
(920) 582-0600
NPI assigned
Aug 23, 2006
Last updated
Oct 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2026

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 1901-023 WI Primary

Addresses

Primary practice location

6085 Harbour View Dr
Winneconne, WI 54986-8656

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250

Other practice location 1

N430 Wood Duck Dr
Fremont, WI 54940
Phone (920) 446-2000

Other names 1

  • Andrea Jane Johanen Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address aneault43715@direct.myadvocateaurora.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
I20051109000242 WI Practitioner - Physician Assistant 9133147077 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056

1136 Westowne Dr
Neenah, WI 54956-2175
Phone (920) 456-2030

6085 Harbour View Dr
Winneconne, WI 54986-8656
Phone (920) 582-0600

855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1901-023WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Jul 28, 2005 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jul 28, 2005 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

12500 W Bluemound Rd
Elm Grove, WI 53122
Phone (262) 780-3434

N430 Wood Duck Dr
Fremont, WI 54940
Phone (715) 256-9616

2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200

N1750 Lily of the Valley Dr
Greenville, WI 54942
Phone (920) 757-5170

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

700 Park Ridge Ln
North Fond du Lac, WI 54937
Phone (920) 907-7450

1805 Huckleberry Ave
Omro, WI 54963
Phone (920) 685-2006

135 Jackson St
Oshkosh, WI 54901
Phone (920) 236-3277

414 Doctors Ct
Oshkosh, WI 54901
Phone (920) 303-5020

700 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 456-2030

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

620 Warren St
Redgranite, WI 54970
Phone (920) 566-0620

1242 W Fond du Lac St
Ripon, WI 54971
Phone (920) 722-7747

900 E Division St
Wautoma, WI 54982
Phone (920) 787-0837

6085 Harbour View Dr
Winneconne, WI 54986
Phone (920) 582-0600

Interoperability endpoints

  • Direct secure messaging: aneault43715@direct.myadvocateaurora.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792972800000",
    "number": "1104933548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044",
            "telephone_number": "800-326-2250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6085 HARBOUR VIEW DR",
            "city": "WINNECONNE",
            "state": "WI",
            "postal_code": "549868656",
            "telephone_number": "920-582-0600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "N430 Wood Duck Dr",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "WI",
            "postal_code": "54940",
            "country_code": "US",
            "telephone_number": "920-446-2000",
            "fax_number": "920-446-2031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEAULT",
        "first_name": "ANDREA",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2026-10-26",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1901-023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "N430 Wood Duck Dr",
            "city": "Fremont",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aneault43715@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "N430 Wood Duck Dr",
            "city": "Fremont",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "JOHANEN",
            "middle_name": "JANE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winneconne, WI

Sources for this page

Verify at the official NPI Registry.