Individual provider Active NPI

Nancy A Spangler, PA-C

  • Physician Assistant
  • Greenfield, WI
National Provider Identifier
1265544134
Registry record updated Feb 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1506-023 Issued in WI
Practice address
4131 W Loomis Rd
Suite 300
Greenfield, WI 53221-2051
Phone
(414) 325-7246
Fax
(414) 325-3770
NPI assigned
Aug 31, 2006
Last updated
Feb 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1506-023 WI Primary
Surgical Physician Assistant 363AS0400X 1506-023 WI

Addresses

Primary practice location

4131 W Loomis Rd
Suite 300
Greenfield, WI 53221-2051

Mailing address

4131 W Loomis Rd
Ste 300
Greenfield, WI 53221-2057
Phone (414) 325-7246

Other identifiers 1

IdentifierTypeStateIssuer
001001065MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000280 WI Practitioner - Physician Assistant 6608839170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.22 of 100Reported as group
Quality
59.26
Promoting interoperability
98
Improvement activities
40
Cost
72.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1506-023WIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management, SC CurrentSince Mar 12, 2007 Accepting new patients
Advanced Pain Management SC CurrentSince Mar 12, 2007 Accepting new patients
Madison Surgicenter LLC Past Accepting new patients
Urology Specialists S.C. Physician Assistant Past Accepting new patients
Advanced Pain Treatment of Chicago SC Past Accepting new patients

Locations

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

4131 W Loomis Rd
Ste 300
Milwaukee, WI 53221
Phone (414) 325-3713

4216 S Green Bay Rd
Mount Pleasant, WI 53403
Phone (262) 598-7246

333 Pine Ridge Blvd
Ste 320
Wausau, WI 54401

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393200000000",
    "number": "1265544134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 W LOOMIS RD",
            "address_2": "STE 300",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212057",
            "telephone_number": "414-325-7246",
            "fax_number": "414-325-3770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 W LOOMIS RD",
            "address_2": "SUITE 300",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532212051",
            "telephone_number": "414-325-7246",
            "fax_number": "414-325-3770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANGLER",
        "first_name": "NANCY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2014-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1506-023",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "1506-023",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001001065",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

Verify at the official NPI Registry.