Nancy M Platta, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2157 Issued in WI

Practice address

208 S Century Ave
Waunakee, WI 53597-1250

Phone

(608) 849-7891

Fax

(608) 849-7126

NPI assigned

Jul 27, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• University of Wisconsin Medical Foundation

  • Durable Medical Equipment & Medical Supplies
  • Waunakee, WI
  • NPI 1548221641
  NPD (past)
• University of Wisconsin Medical Foundation, Inc

  • Health Educator
  • Madison, WI
  • NPI 1487414082
  NPD (past)

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

{
    "created_epoch": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1215127006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 S CENTURY AVE",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535971250",
            "telephone_number": "608-849-7891",
            "fax_number": "608-849-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATTA",
        "first_name": "NANCY",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "2157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellyse Pellino
• Sean Penaranda, PA-C
• Nicholas A Petrulis, DC
• Haley Pierson, PH.D., LP
• Jennifer Piette
• Psychotherapy Center of Waunakee LLC
• Quirt Family Dentistry, S.C. (Dental Care at Woodland Crest)
• Jennifer Racz, MD, MBA, FRCSC
• Jenelle Rademacher, RN
• William H Ranum, MD

• Surgical Physician Assistant in Waunakee, WI
• Providers in Waunakee, WI by specialty
• Surgical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.