Christianne M Willis, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1391 Issued in IA

Practice address

117 S Madison St
Cuba City, WI 53807-1154

Phone

(608) 744-2115

Fax

(608) 744-2117

NPI assigned

Jun 22, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Christianne M Kuennen Other name

Medicare fee-for-service enrollment

Enrolled in IA, WI2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical Associates Clinic P C 228 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grant County Home Nursing Service Home health agency, Lancaster, WI, CCN 527027
• Southwest Health Center Hospital, Platteville, WI, CCN 521354
• Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Medical Associates Clinic P C

  • Multi-Specialty Clinic/Center
  • Dubuque, IA
  • NPI 1457300790

  IA, WI

  Medicare reassignment Care Compare group NPD
• Medical Associates Clinic P C.

  • Durable Medical Equipment & Medical Supplies
  • Dubuque, IA
  • NPI 1811091143
  Care Compare group
• Gundersen Clinic LTD

  • Clinic/Center
  • La Crosse, WI
  • NPI 1851343115
  NPD (past)
• Gundersen Lutheran Express Care, Inc

  • Clinic/Center
  • La Crosse, WI
  • NPI 1043446974
  NPD (past)

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

• County of Grant

  • Home Health Agency
  • Lancaster, WI
  • NPI 1710047923
  Care Compare affiliation
• Southwest Health Center, Inc

  • Critical Access Hospital
  • Platteville, WI
  • NPI 1831279793

  Hospital

  Care Compare affiliation
• Mercy Medical Center-Dubuque

  • General Acute Care Hospital
  • Dubuque, IA
  • NPI 1659348506

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231804800000",
    "number": "1326044587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ASSOCIATES DR",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520022201",
            "telephone_number": "563-584-4100",
            "fax_number": "563-584-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S MADISON ST",
            "city": "CUBA CITY",
            "state": "WI",
            "postal_code": "538071154",
            "telephone_number": "608-744-2115",
            "fax_number": "608-744-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "CHRISTIANNE",
        "middle_name": "M",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-22",
        "last_updated": "2009-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "1391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41957800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTIANNE",
            "last_name": "KUENNEN",
            "middle_name": "M",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Southwest Health Center, Inc.
• St. Marys Dean Ventures Inc.
• SWR1, Inc.
• Elizabeth Ann Thompson I, OCCUPATIONAL THERAPI
• Melinda Jayne Trevethan, SLP-CCC
• Jon Joseph Wilson, RPH

• All providers in Cuba City, WI
• Medical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2009; 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.

Verify at the official NPI Registry.