Ashley E. Callaway, PA
Individual provider Active NPI Medical Physician Assistant · Wrightstown, WI
NPI 1376979013 · NPPES record last updated May 5, 2020
Key facts
- NPI
- 1376979013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 3222-23 (WI)
- Practice address
- 555 Quality CT
Wrightstown, WI 54180-9006 - Phone
- (920) 532-6320
- NPI assigned
- Sep 25, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bellin Memorial Hospital Inc
Practice addresses (Care Compare)
2020 S Webster Ave
Accounting
Green Bay, WI 54301-3505
3263 Eaton Rd
Green Bay, WI 54311-6830
Phone (920) 433-6700
744 S Webster Ave
Green Bay, WI 54301-3505
Hospital & facility affiliations
- Bellin Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131122001761 | WI | Practitioner - Physician Assistant | 1759517600 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Current |
Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
Interoperability endpoints
- amiszkiewicz65774@direct.thedacare.org
- acallaway935749@direct.emplifyhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 3222-23 | WI | Yes |
Addresses
Primary practice location
555 Quality CT
Wrightstown, WI 54180-9006
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7226
Other practice location 1
3263 Eaton Rd
Green Bay, WI 54311-6830
Phone (920) 433-6000
Other practice location 2
595 County Road R
Denmark, WI 54208-9120
Phone (920) 863-2005
Other practice location 3
2015 Shawano Ave
Green Bay, WI 54303-2606
Phone (920) 592-9478
Other practice location 4
831 Parker Ave
Algoma, WI 54201-1808
Phone (920) 487-3676
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114744 | Other | NATIONAL COMMISSION ON CERTIFIED PHYSICIANS ASSISTANTS |
Other names
- Ashley E Miszkiewicz
Other providers in Wrightstown, WI
- Bellin Memorial Hospital Inc
- Dulcie R Bosi
- Bosma Chiropractic L.L.C.
- Bradley Richard Bosma
- Jordan E Burton
- Dawn Craft
- D&D Chiropractic and Wellness, LLC
- Jennifer D. Degroot
- Droessler Physical Therapy LLC
- Justin G Droessler
All providers in Wrightstown, WI · Medical Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.