Active NPI
Patricia Hunt
- Physician Assistant
- Pleasant Prairie, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 9555 76TH St
Pleasant Prairie, WI 53158-1984 - Phone
- (262) 671-7510
- NPI assigned
- Jul 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 7879-23 | WI | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
9555 76TH St
Pleasant Prairie, WI 53158-1984
Mailing address
11109 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10256 Old Green Bay Rd
Pleasant Prairie, WI 53158-2814
Phone (262) 551-4200
6308 8TH Ave
Kenosha, WI 53143-5031
Phone (262) 771-0073
9555 76TH St
Pleasant Prairie, WI 53158-1984
Phone (262) 577-8300
Hospital & facility affiliations
- Froedtert South Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.38 of 100
- Quality
- 87.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.74
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 69.39
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7879-23 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Froedtert South, Inc. | Current | Accepting new patients | |
| Parkview Health System Inc | Current | Accepting new patients | |
| Interventional Pain Consultants, LLC | Past | Accepting new patients |
Locations
11109 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-2020
2200 Randallia Dr
Fort Wayne, IN 46805
Phone (260) 373-4000
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300
9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000
Interoperability endpoints
- phunt824007@direct.froedtert.com
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Kenosha, WI
- NPI 1558305284
-
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Emergency Medicine Physician
- Fort Wayne, IN
- NPI 1144215096
-
- Interventional Pain Medicine Physician
- Fort Wayne, IN
- NPI 1164661054
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pleasant Prairie, WI
- NPI 1003831132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1194498741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11109 PARKVIEW PLAZA DR",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468451701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9555 76TH ST",
"city": "PLEASANT PRAIRIE",
"state": "WI",
"postal_code": "531581984",
"telephone_number": "262-671-7510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNT",
"first_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-29",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "7879-23",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Prairie, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.