Individual provider Active NPI

Madison McKena Bill, PA-C

  • Physician Assistant
  • Green Bay, WI
National Provider Identifier
1154254795
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8978-23 Issued in WI
Practice address
2806 Riverview Dr
Green Bay, WI 54313-6508
Phone
(920) 498-7546
Fax
(920) 569-4129
NPI assigned
Jun 4, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 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 8978-23 WI Primary

Addresses

Primary practice location

2806 Riverview Dr
Green Bay, WI 54313-6508

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-5631

Other practice location 1

835 S Main St Ste 1
Oconto Falls, WI 54154-1282
Phone (920) 846-4864

Other practice location 2

N4531 State Highway 22 Ste 5
Shawano, WI 54166-6173
Phone (715) 524-5995

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Madison.Bill@forefrontdermatology.emadirect.md
Direct Messaging Address Madison.Bill@forefrontdermatology.emadirect.md
Direct Messaging Address Madison.Bill@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1780531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1154254795",
    "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": "920-663-5631",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 RIVERVIEW DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543136508",
            "telephone_number": "920-498-7546",
            "fax_number": "920-569-4129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "835 S Main St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Oconto Falls",
            "state": "WI",
            "postal_code": "541541282",
            "country_code": "US",
            "telephone_number": "920-846-4864",
            "fax_number": "920-846-2073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "N4531 State Highway 22 Ste 5",
            "address_purpose": "LOCATION",
            "city": "Shawano",
            "state": "WI",
            "postal_code": "541666173",
            "country_code": "US",
            "telephone_number": "715-524-5995",
            "fax_number": "715-953-4257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILL",
        "first_name": "MADISON",
        "middle_name": "MCKENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-04",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "8978-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Madison.Bill@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2806 Riverview Dr",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543136508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Madison.Bill@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "835 S Main St Ste 1",
            "city": "Oconto Falls",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541541282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Madison.Bill@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "N4531 State Highway 22 Ste 5",
            "city": "Shawano",
            "state": "WI",
            "country_code": "US",
            "postal_code": "541666173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.