Individual provider Active NPI

Carol M Plankenhorn, PA

  • Physician Assistant
  • Milwaukee, WI
National Provider Identifier
1316995566
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1187-023 Issued in WI
Practice address
2900 W Oklahoma Ave
Ermed
Milwaukee, WI 53215-4330
Phone
(414) 649-7299
Fax
(414) 649-6694
NPI assigned
May 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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 1187-023 WI Primary

Addresses

Primary practice location

2900 W Oklahoma Ave
Ermed
Milwaukee, WI 53215-4330

Mailing address

2900 W Oklahoma Ave
Ermed, St. Luke's Medical Center
Milwaukee, WI 53215-4330
Phone (414) 649-7299

Other identifiers 1

IdentifierTypeStateIssuer
POO41817MedicaidWI

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051024000169 WI Practitioner - Physician Assistant 9638195142 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1187WIMDHome Health Agency
1187-023WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia St. Mary's Hospital Milwaukee, Inc CurrentSince Aug 10, 2015 Accepting new patients
American Current Care P.a. CurrentSince Apr 7, 2025 Accepting new patients
American Current Care PA CurrentSince Apr 7, 2025 Accepting new patients
American Current Care PA Current Accepting new patients
American Current Care P.a. Current Accepting new patients
Columbia St. Mary's Hospital Milwaukee Inc CurrentSince Aug 10, 2015 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

2455 N 124th St
Brookfield, WI 53005
Phone (262) 782-9326

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

7080 N Port Washington Rd
Glendale, WI 53217
Phone (414) 228-4940

358 Junction Rd
Madison, WI 53717
Phone (608) 829-1888

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

215 N 35th St
Milwaukee, WI 53208
Phone (414) 931-7600

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

801 S 70th St
West Allis, WI 53214
Phone (414) 773-6600

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1316995566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 W OKLAHOMA AVE",
            "address_2": "ERMED, ST. LUKE'S MEDICAL CENTER",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154330",
            "telephone_number": "414-649-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 W OKLAHOMA AVE",
            "address_2": "ERMED",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532154330",
            "telephone_number": "414-649-7299",
            "fax_number": "414-649-6694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANKENHORN",
        "first_name": "CAROL",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1187-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "POO41817",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.