Active NPI
Abigail L Heried
- Medical Physician Assistant
- Milwaukee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 2301 N Lake Dr
Milwaukee, WI 53211-4508 - Phone
- (414) 585-1000
- NPI assigned
- Aug 7, 2024
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
2301 N Lake Dr
Milwaukee, WI 53211-4508
Mailing address
1916 Hackney CT
Mount Pleasant, WI 53406-5920
Phone (262) 995-3383
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13111 N Port Washington Rd
Mequon, WI 53097-2416
Phone (262) 243-7300
13133 N Port Washington Rd
Suite G06
Mequon, WI 53097-2421
Phone (262) 243-8371
2301 N Lake Dr
Milwaukee, WI 53211-4508
2323 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000
2350 N Lake Dr
Milwaukee, WI 53211-4528
801 S 70TH St
West Allis, WI 53214-3147
Phone (414) 773-6600
Hospital & facility affiliations
- Ascension Columbia St Marys Hospital Milwaukee
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Past | Accepting new patients |
Locations
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
2350 N Lake Dr
Ste 206
Milwaukee, WI 53211
Phone (414) 271-1633
801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
-
- Psychiatric Hospital Unit
- Mequon, WI
- NPI 1417600909
-
- Multi-Specialty Clinic/Center
- Mequon, WI
- NPI 1710928221
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1306676937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1916 HACKNEY CT",
"city": "MOUNT PLEASANT",
"state": "WI",
"postal_code": "534065920",
"telephone_number": "262-995-3383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 N LAKE DR",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532114508",
"telephone_number": "414-585-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERIED",
"first_name": "ABIGAIL",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-07",
"certification_date": "2024-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.