Lisa A. Simpson, PAC
Individual provider Active NPI Medical Physician Assistant · Deforest, WI
NPI 1396705695 · NPPES record last updated Jan 29, 2019
Key facts
- NPI
- 1396705695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 869 (WI)
- Practice address
- 100 E North St
Deforest, WI 53532 - Phone
- (608) 846-3741
- Fax
- (608) 846-7898
- NPI assigned
- Mar 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University of Wisconsin Medical Foundation Inc
Practice addresses (Care Compare)
1050 E Broadway
Monona, WI 53716-4023
Phone (608) 222-8779
2402 Winnebago St
Madison, WI 53704-5341
Phone (608) 287-2770
2977 County Hwy CX
Portage, WI 53901-9271
Phone (608) 287-2770
4131 Meridian Dr
Windsor, WI 53598-9699
Phone (608) 846-3741
4602 Eastpark Blvd
Madison, WI 53718-2002
Phone (608) 440-6400
600 Highland Ave
Madison, WI 53792-0001
Phone (608) 263-6400
7974 Uw Health CT
Middleton, WI 53562-5531
Hospital & facility affiliations
- University of Wi Hospitals & Clinics Authority
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.32 of 100
- Quality
- 87.78
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 75.8
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 |
|---|---|---|---|---|
| I20100331000550 | WI | Practitioner - Physician Assistant | 1658407432 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 869 | WI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Wisconsin Medical Foundation, Inc | Current |
Accepting new patients | |
| University of Wisconsin Medical Foundation, Inc | Current |
Accepting new patients | |
| University of Wisconsin Medical Foundation Inc | Past | Accepting new patients |
Locations
100 E North St
Deforest, WI 53532
Phone (608) 282-8240
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270
4131 Meridian Dr
Windsor, WI 53598
Phone (608) 846-3741
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 869 | WI | Yes |
Addresses
Primary practice location
100 E North St
Deforest, WI 53532
Mailing address
7974 Uw Health CT
Middleton, WI 53562-5531
Other providers in Deforest, WI
- Crystal Schuster
- Eileen Cheryl Schutte
- Hadija Shaa
- Aimee Shaw
- Valerie Sherwood
- Source of Care
- Speech With Tara, LLC
- Mercedes Spicer
- Jane Stowell
- Sundance Rehabilitation LLC
All providers in Deforest, 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 Jan 29, 2019. 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.