Individual provider Active NPI

Rachel Montague, PA-C

  • Surgical Physician Assistant
  • Hayward, WI
National Provider Identifier
1376893388
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
11040 N State Road 77
Hayward, WI 54843-3606
Phone
(715) 934-4850
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

11040 N State Road 77
Hayward, WI 54843-3606

Mailing address

11040 N State Road 77
Hayward, WI 54843-3606
Phone (715) 934-4850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, 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

Enrollment IDStateProvider typePAC IDDetails
I20121102000061 MN Practitioner - Physician Assistant 8527218304 Reassigns benefits to 4 organizations
I20210109000095 WI Practitioner - Physician Assistant 8527218304 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Services, IncGroup PAC ID 9436061363, 32 clinicians

Practice addresses (Care Compare)

11040 N State Rd
Suite 77
Hayward, WI 54843-6391
Phone (715) 934-4245

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.05 of 100Reported as group
Quality
87.37
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Services, Inc CurrentSince May 15, 2023 Accepting new patients
Allina Health System CurrentSince Sep 30, 2017 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Park Nicollet Methodist Hospital CurrentSince Sep 8, 2012 Accepting new patients
Marshfield Clinic Inc CurrentSince Jan 4, 2021 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 4, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 4, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 4, 2021 Accepting new patients
St Francis Regional Medical Center CurrentSince May 21, 2018 Accepting new patients
Park Nicollet Clinic CurrentSince Sep 8, 2012 Accepting new patients
St. Francis Regional Medical Center CurrentSince May 21, 2018 Accepting new patients
Allina Health System CurrentSince Sep 30, 2017 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jan 4, 2021 Accepting new patients
Tria Orthopaedic Center LLC CurrentSince Oct 21, 2013 Accepting new patients
Medical Services, Inc CurrentSince May 15, 2023 Accepting new patients

Locations

14000 Nicollet Ave
Ste 100
Burnsville, MN 55337
Phone (950) 985-8275

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

9855 Hospital Dr
Ste 102A
Maple Grove, MN 55369
Phone (763) 581-9220

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

8100 Northland Dr
Minneapolis, MN 55431
Phone (952) 831-1626

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

1451 Adams St S
Shakopee, MN 55379
Phone (952) 403-1522

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

11040 N State Road 77
Hayward, WI 54843
Phone (715) 934-4244

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: rachel.montague@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1376893388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 N STATE ROAD 77",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548433606",
            "telephone_number": "715-934-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 N STATE ROAD 77",
            "city": "HAYWARD",
            "state": "WI",
            "postal_code": "548433606",
            "telephone_number": "715-934-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, WI

Sources for this page

Verify at the official NPI Registry.