Active NPI
Abigail Degner, PA
- Physician Assistant
- Madison, WI
National Provider Identifier
1295145449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3213-23
- Practice address
- 1310 Mendota St Ste 102
Madison, WI 53714-1058 - Phone
- (608) 492-0234
- NPI assigned
- Apr 28, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3213-23 | WI | Primary |
Addresses
Primary practice location
1310 Mendota St Ste 102
Madison, WI 53714-1058
Mailing address
1310 Mendota St
Madison, WI 53714-1039
Phone (608) 492-0234
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52641 | CA | MD | General Practice Dentistry |
| 3213-23 | WI | MD | Physician Assistant |
Interoperability endpoints
- jwinchell27928@direct.uwhealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1295145449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1310 MENDOTA ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537141039",
"telephone_number": "608-492-0234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 MENDOTA ST STE 102",
"city": "MADISON",
"state": "WI",
"postal_code": "537141058",
"telephone_number": "608-492-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGNER",
"first_name": "ABIGAIL",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-28",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "3213-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.