Active NPI
Rachael Vogelgesang, PA-C
- Physician Assistant
- Milwaukee, WI
National Provider Identifier
1154581189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2273-23
- Practice address
- 1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203 - Phone
- (414) 672-1353
- Fax
- (414) 672-4265
- NPI assigned
- Jun 12, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2273-23 | WI | Primary |
Addresses
Primary practice location
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203
Mailing address
1032 S Cesar E Chavez Dr
Milwaukee, WI 53204-2203
Phone (414) 672-1353
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43025200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2273-23 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports Medicine & Orthopedic Center, S.C. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Greenfield, WI
- NPI 1164411997
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314144000000",
"number": "1154581189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1032 S CESAR E CHAVEZ DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532042203",
"telephone_number": "414-672-1353",
"fax_number": "414-672-4265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1032 S CESAR E CHAVEZ DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532042203",
"telephone_number": "414-672-1353",
"fax_number": "414-672-4265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VOGELGESANG",
"first_name": "RACHAEL",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-12",
"last_updated": "2011-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "2273-23",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43025200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.