Active NPI
Geremiah Stephen Krause, PA-C
- Physician Assistant
- Mukwonago, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3264
- Practice address
- 240 Maple Ave
Prohealth Care Medical Associates Inc.
Mukwonago, WI 53149-8475 - Phone
- (262) 928-1900
- NPI assigned
- Dec 8, 2010
- Sex
- Male
- Sole proprietor
- No
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 | 3264 | WI | Primary |
Addresses
Primary practice location
240 Maple Ave
Prohealth Care Medical Associates Inc.
Mukwonago, WI 53149-8475
Mailing address
240 Maple Ave
Prohealth Care Medical Associates Inc.
Mukwonago, WI 53149-8475
Phone (262) 928-1900
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 Spring City Dr
Suite 250
Waukesha, WI 53186-5934
Phone (262) 928-0370
109 Air Park Dr
Watertown, WI 53094-7400
Phone (262) 928-5100
1185 Corporate Ctr Dr
Suite 175
Oconomowoc, WI 53066-4889
Phone (262) 928-8400
2130 Big Bend Rd
Waukesha, WI 53189-7624
Phone (262) 928-7555
240 Maple Ave
Mukwonago, WI 53149-8475
Phone (262) 928-1900
2750 Golf Rd
Delafield, WI 53018-2062
Phone (262) 928-4900
N17W24100 Riverwood Dr
Waukesha, WI 53188-1127
Phone (262) 928-4704
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3264 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reedsburg Area Medical Center Inc | Current | Accepting new patients | |
| Prohealth Medical Group Inc. | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Current | Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Past | Accepting new patients |
Locations
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
240 Maple Ave
Mukwonago, WI 53149
Phone (262) 928-1900
2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487
791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251
725 American Ave
#5
Waukesha, WI 53188
Phone (262) 928-2475
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030
Organizations & group practices 9
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.
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
-
- Emergency Medicine Physician
- Waukesha, WI
- NPI 1861483190
-
- Emergency Medicine Physician
- Oconomowoc, WI
- NPI 1720060585
-
- Emergency Medicine Physician
- Madison, WI
- NPI 1588646095
-
- Critical Access Hospital
- Reedsburg, WI
- NPI 1891796710
-
- Family Medicine Physician
- Pewaukee, WI
- NPI 1396887709
-
- Rural Health Clinic/Center
- La Valle, WI
- NPI 1437049566
-
- Family Medicine Physician
- Reedsburg, WI
- NPI 1457780983
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1235432576",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 MAPLE AVE",
"address_2": "PROHEALTH CARE MEDICAL ASSOCIATES INC.",
"city": "MUKWONAGO",
"state": "WI",
"postal_code": "531498475",
"telephone_number": "262-928-1900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 MAPLE AVE",
"address_2": "PROHEALTH CARE MEDICAL ASSOCIATES INC.",
"city": "MUKWONAGO",
"state": "WI",
"postal_code": "531498475",
"telephone_number": "262-928-1900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAUSE",
"first_name": "GEREMIAH",
"middle_name": "STEPHEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-12-08",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "3264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mukwonago, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.