Active NPI
Sadie Dejager, PA-C
- Physician Assistant
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5509-23
- Practice address
- 1506 S Oneida St
Appleton, WI 54915-1305 - Phone
- (920) 738-2000
- NPI assigned
- Jun 14, 2020
- Last updated
- Jul 1, 2022
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5509-23 | WI | Primary |
Addresses
Primary practice location
1506 S Oneida St
Appleton, WI 54915-1305
Mailing address
1506 S Oneida St
Appleton, WI 54915-1396
Phone (920) 738-2000
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, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 S Webster Ave
Accounting
Green Bay, WI 54301-3505
704 S Webster Ave
Green Bay, WI 54301-3533
Phone (920) 468-3444
744 S Webster Ave
Green Bay, WI 54301-3505
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5509-23 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Butte Des Morts Pathology, S.C. | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016
720 S Van Buren St
Ste 101
Green Bay, WI 54301
Phone (920) 430-8120
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220
Interoperability endpoints
- sdejager1034100@direct.emplifyhealth.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bellin Health Algoma
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
dba Ascension Medical Group
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
-
dba Ascension NE Wisconsin-St Elizabeth Campus
- General Acute Care Hospital
- Appleton, WI
- NPI 1407803638
-
dba Emplify Health Oconto Hospital
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
-
dba Bellin Health
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
-
- Anatomic Pathology & Clinical Pathology Physician
- Appleton, WI
- NPI 1205886918
-
dba Bellin Health Suring
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1376168443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1506 S ONEIDA ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549151396",
"telephone_number": "920-738-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1506 S ONEIDA ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549151305",
"telephone_number": "920-738-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEJAGER",
"first_name": "SADIE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-14",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "5509-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; 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.