Active NPI
Natalie Gilsinger, PA-C
- Physician Assistant
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3379
- Practice address
- 1200 7TH Ave N
St Petersburg, FL 33705-1300 - Phone
- (727) 825-1493
- NPI assigned
- Apr 14, 2014
- Last updated
- Oct 2, 2023
- 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 | |||
| Physician Assistant | 363A00000X | 3379 | WI | Primary |
Addresses
Primary practice location
1200 7TH Ave N
St Petersburg, FL 33705-1300
Mailing address
500 Dr Martin Luther King Jr St N
#303
St Petersburg, FL 33705-1472
Phone (727) 825-1497
Other practice location 1
252 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100039852 | Medicaid | WI |
Other names 1
- Natalie Wallen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3379 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Milwaukee Radiologists LTD | Current | Accepting new patients |
Locations
252 McHenry St
Burlington, WI 53105
Phone (262) 763-2411
5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590
Interoperability endpoints
- ngilsinger94705@direct.myadvocateaurora.org
Organizations & group practices 5
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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1396171518
-
- Emergency Medicine Physician
- Milwaukee, WI
- NPI 1023076296
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Diagnostic Radiology Physician
- Greenfield, WI
- NPI 1568564904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696204800000",
"number": "1285053728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 DR MARTIN LUTHER KING JR ST N",
"address_2": "#303",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051472",
"telephone_number": "727-825-1497",
"fax_number": "727-825-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 7TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051300",
"telephone_number": "727-825-1493"
}
],
"practiceLocations": [
{
"address_1": "252 McHenry St",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "WI",
"postal_code": "531051828",
"country_code": "US",
"telephone_number": "262-767-6000",
"fax_number": "262-767-6545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILSINGER",
"first_name": "NATALIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-14",
"last_updated": "2023-10-02",
"certification_date": "2023-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "3379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100039852",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NATALIE",
"last_name": "WALLEN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.