Madison Kruk, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

7854-23 Issued in WI

Practice address

10500 W Loomis Rd Ste 130
Franklin, WI 53132-8030

Phone

(414) 488-1111

NPI assigned

Feb 29, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Neurosurgery and Endovascular Associates SC.

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Franklin, WI
  • NPI 1063495000
  Medicare reassignment

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

{
    "created_epoch": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1184481830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10500 W LOOMIS RD STE 130",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10500 W LOOMIS RD STE 130",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531328030",
            "telephone_number": "414-488-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUK",
        "first_name": "MADISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "5229",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "7854-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Krekling
• Sumaya Anne Kroger, MS, LPC, SAC
• Krsko Chiropractic S.C.
• Christine M Krsko, D.C.
• Scott Krueger, PT
• KSR Performance Physical Therapy LLC
• Elizabeth Kulig
• Parmod Kumar, MD
• Rachel J Kuntz, ATC
• Cregg David Kuri, LPC

• Physician Assistant in Franklin, WI
• Providers in Franklin, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.