Abbey Hurtis, PA-C
Individual provider Active NPI Physician Assistant · Summit, WI
NPI 1306407010 · NPPES record last updated Jul 23, 2024
Key facts
- NPI
- 1306407010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 4721 (WI)
- Practice address
- 36500 Aurora Dr
Summit, WI 53066-4899 - Phone
- (262) 434-1000
- Fax
- (262) 434-5050
- NPI assigned
- Jun 24, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aurora Medical Group, Inc.
Practice addresses (Care Compare)
1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056
36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-5000
Hospital & facility affiliations
- Aurora Medical Center - Summit
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, CO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190829000648 | WI | Practitioner - Physician Assistant | 3870821853 | Reassigns benefits to 4 organizations |
| I20220504001011 | CO | Practitioner - Physician Assistant | 3870821853 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4721 | WI | MD | Speech-Language Pathologist |
| 472123 | WI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Medford Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Aspirus Medical Group, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Family Care Center, LLC | Current |
Accepting new patients | |
| Family Care Center, LLC | Physician Assistant | Current |
Accepting new patients |
| Aspirus Medical Group, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Current |
Accepting new patients | |
| Aspirus Medford Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
2860 S Circle Dr
Ste 109
Colorado Springs, CO 80906
Phone 71954021004002
350 Indiana St
Ste 300
Golden, CO 80401
Phone (303) 248-7899
29980 Network Pl
Chicago, IL 60673
135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000
333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160
500 Wind Ridge Dr
Wausau, WI 54401
4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400
420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474
Interoperability endpoints
- ahurtis402873@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.0007171 | CO | |
| Medical Physician Assistant | 363AM0700X | 472123 | WI | |
| Physician Assistant | 363A00000X | 4721 | WI | Yes |
Addresses
Primary practice location
36500 Aurora Dr
Summit, WI 53066-4899
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
350 Indiana St Ste 300
Golden, CO 80401-5093
Phone (303) 248-7899
Other practice location 2
333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone (715) 847-2121
Other practice location 3
500 Wind Ridge Dr
Wausau, WI 54401-4173
Phone (715) 847-2611
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100092505 | Medicaid | WI |
Other names
- Abbey Crossman
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahurtis402873@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Summit, WI
- Angela M Holtzman
- Emily G Holzwart
- Megan R Hoyer
- Beth A Hultman
- Steven J Hunter
- Rachel Hyland
- Ahmed Mohsin Ibn-Mahfoudh
- Kimberly Couture Ireland
- Ahmed Ismail
- Zachary A Jaffa
All providers in Summit, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.