Individual provider Active NPI

Edgar William Ficke-Anderson

  • Physician Assistant
  • Chippewa Falls, WI
National Provider Identifier
1124864848
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8823-23 Issued in WI
Practice address
855 Lakeland Dr
Chippewa Falls, WI 54729-1687
Phone
(715) 726-9248
Fax
(715) 726-2087
NPI assigned
Jul 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 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 8823-23 WI Primary

Addresses

Primary practice location

855 Lakeland Dr
Chippewa Falls, WI 54729-1687

Mailing address

2403 Folsom St
Eau Claire, WI 54703-2435
Phone (715) 552-9780

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
I20260304000969 WI Practitioner - Physician Assistant 2264914720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakleaf Clinics IncGroup PAC ID 4486831328, 103 clinicians

Practice addresses (Care Compare)

855 Lakeland Dr
Chippewa Falls, WI 54729-1687
Phone (715) 726-9248

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8823-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oakleaf Clinics Inc CurrentSince Feb 16, 2026 Accepting new patients
Oakleaf Clinics Inc CurrentSince Feb 16, 2026 Accepting new patients

Locations

855 Lakeland Dr
Chippewa Falls, WI 54729
Phone (715) 309-4451

2403 Folsom St
Eau Claire, WI 54703

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.

NPI Registry JSON

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1124864848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 FOLSOM ST",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547032435",
            "telephone_number": "715-552-9780",
            "fax_number": "715-835-6370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 LAKELAND DR",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547291687",
            "telephone_number": "715-726-9248",
            "fax_number": "715-726-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKE-ANDERSON",
        "first_name": "EDGAR",
        "middle_name": "WILLIAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-02",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "8823-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

Verify at the official NPI Registry.