Individual provider Active NPI

Rebecca Rose Freese, PA-C

  • Medical Physician Assistant
  • Milwaukee, WI
National Provider Identifier
1134421100
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2697 Issued in WI
Practice address
735 N Water St Ste 830
Milwaukee, WI 53202-4104
Phone
(414) 276-1222
Fax
(414) 273-1240
NPI assigned
Nov 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2697 WI
Medical Physician Assistant 363AM0700X 2697 WI Primary

Addresses

Primary practice location

735 N Water St Ste 830
Milwaukee, WI 53202-4104

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

7001 S Howell Ave Ste 900
Oak Creek, WI 53154-1408
Phone (262) 898-4400

Other practice location 2

1575 N Rivercenter Dr
Milwaukee, WI 53212-3978
Phone (414) 283-8444

Other identifiers 1

IdentifierTypeStateIssuer
100012993MedicaidWI

Other names 1

  • Rebecca Czerniak Former name

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address rfreese374632@direct.myadvocateaurora.org Direct
Direct Messaging Address Rebecca.Freese@forefrontdermatology.emadirect.md
Direct Messaging Address Rebecca.Freese@forefrontdermatology.emadirect.md
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20110502000582 WI Practitioner - Physician Assistant 2365627668 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians
16TH Street Community Health Center Inc.Group PAC ID 6709876857, 83 clinicians
Aurora Advanced Healthcare, Inc.Group PAC ID 3375625833, 1,107 clinicians

Practice addresses (Care Compare)

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

1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203
Phone (414) 672-1353

12203 N Corporate Pkwy
Mequon, WI 53092-3388
Phone (262) 387-8200

215 W Washington St
Grafton, WI 53024-1700
Phone (262) 375-3700

2906 S 20TH St
Milwaukee, WI 53215-3732
Phone (414) 672-1353

3003 W Good Hope Rd
Milwaukee, WI 53209-2042
Phone (414) 352-3100

3289 N Mayfair Rd
Wauwatosa, WI 53222-3203
Phone (414) 771-7900

6425 W Mequon Rd
Mequon, WI 53092-1855
Phone (262) 242-0051

9200 W Loomis Rd
Franklin, WI 53132-8887
Phone (414) 529-9200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2697WIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Jun 19, 2023 Accepting new patients
Lakeshore Medical Clinic, LLC CurrentSince Jun 19, 2023 Accepting new patients
Sixteenth Street Community Health Centers, Inc. Physician Assistant CurrentSince Jan 24, 2011 Accepting new patients
Aurora Advanced Healthcare, Inc. CurrentSince Jun 19, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jun 19, 2023 Accepting new patients
16TH Street Community Health Center Inc. Physician Assistant CurrentSince Jan 24, 2011 Accepting new patients
Aurora Advanced Healthcare Inc CurrentSince Jun 19, 2023 Accepting new patients

Locations

3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100

12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200

1337 S Cesar E Chavez Dr
Milwaukee, WI 53204
Phone (414) 672-1354

4570 S 27th St
Milwaukee, WI 53221
Phone (414) 325-8720

1032 S Cesar E Chavez Dr
Milwaukee, WI 53204

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

1635 W National Ave
Milwaukee, WI 53204
Phone (262) 408-5094

2906 S 20th St
Milwaukee, WI 53215
Phone (414) 385-8800

1575 N Rivercenter Dr
Milwaukee, WI 53212
Phone (414) 283-8444

S74W16775 Janesville Rd
Muskego, WI 53150
Phone (414) 422-4747

2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880

309 E North St
Waukesha, WI 53188
Phone (262) 408-2530

Interoperability endpoints

  • Direct secure messaging: rfreese354321@direct.ochin.org
  • Direct secure messaging: rebecca.freese@forefrontdermatology.emadirect.md

Organizations & group practices 10

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": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1134421100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N WATER ST STE 830",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532024104",
            "telephone_number": "414-276-1222",
            "fax_number": "414-273-1240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7001 S Howell Ave Ste 900",
            "address_purpose": "LOCATION",
            "city": "Oak Creek",
            "state": "WI",
            "postal_code": "531541408",
            "country_code": "US",
            "telephone_number": "262-898-4400",
            "fax_number": "414-435-3406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1575 N Rivercenter Dr",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532123978",
            "country_code": "US",
            "telephone_number": "414-283-8444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREESE",
        "first_name": "REBECCA",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-24",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2697",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "2697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100012993",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rfreese374632@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1575 N Rivercenter Dr",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532123978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rebecca.Freese@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "7001 S Howell Ave Ste 900",
            "city": "Oak Creek",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531541408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Rebecca.Freese@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "735 N Water St Ste 830",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532024104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1575 N Rivercenter Dr",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532123978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "CZERNIAK",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.