NPIMap

Individual provider Active NPI

Cory Dylan Oegema, PA

  • Physician Assistant
  • Wausau, WI
National Provider Identifier
1295324929
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5418 Issued in WI
Practice address
3901 Stewart Ave
Wausau, WI 54401-3948
Phone
(715) 907-0900
Fax
(715) 803-6977
NPI assigned
Jan 17, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5418 WI Primary

Addresses

Primary practice location

3901 Stewart Ave
Wausau, WI 54401-3948

Mailing address

3901 Stewart Ave
Wausau, WI 54401-3948
Phone (715) 907-0900

Other identifiers 1

IdentifierTypeStateIssuer
1295324929MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Cory.Oegema@orthoassocwau.directbygreenway.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211112000692 WI Practitioner - Physician Assistant 4082003066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Centers of Wisconsin S CGroup PAC ID 4981679552, 58 clinicians
Sport and Spine Clinic LPGroup PAC ID 9830008846, shared by 2 NPIs, 26 clinicians

Practice addresses (Care Compare)

3901 Stewart Ave
Wausau, WI 54401-3948
Phone (715) 907-0900

PO Box
Suite 297
Greenwood, WI 54437

Hospital & facility affiliations

  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5418WIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Centers of Wisconsin S C CurrentSince Apr 1, 2025 Accepting new patients
Orthopaedic Centers of Wisconsin S C Physician Assistant Past Accepting new patients
Orthopaedic Centers of Wisconsin S C Past Accepting new patients

Locations

3901 Stewart Ave
Wausau, WI 54401
Phone (715) 841-0002

Interoperability endpoints

  • Direct secure messaging: cory.oegema@orthoassocwau.directbygreenway.com
  • Direct secure messaging: corey.oegema@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1610841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1295324929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 STEWART AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013948",
            "telephone_number": "715-907-0900",
            "fax_number": "715-803-6977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 STEWART AVE",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544013948",
            "telephone_number": "715-907-0900",
            "fax_number": "715-803-6977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OEGEMA",
        "first_name": "CORY",
        "middle_name": "DYLAN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-17",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "5418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295324929",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Cory.Oegema@orthoassocwau.directbygreenway.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3901 Stewart Ave",
            "city": "Wausau",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544013948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wausau, WI

Sources for this page

Verify at the official NPI Registry.