Active NPI
Sarah M Motl, PA-C
- Physician Assistant
- Dodgeville, WI
National Provider Identifier
1407811151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1770-023
- Practice address
- 833 S Iowa St
Ste 102
Dodgeville, WI 53533-1900 - Phone
- (608) 935-3301
- Fax
- (608) 935-3853
- NPI assigned
- Apr 18, 2006
- 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 | 1770-023 | WI | Primary |
Addresses
Primary practice location
833 S Iowa St
Ste 102
Dodgeville, WI 53533-1900
Mailing address
833 S Iowa St
Ste 102
Dodgeville, WI 53533-1900
Phone (608) 935-3301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407811151 | Medicaid | WI |
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
- University of Florida College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1204 Joseph St
Dodgeville, WI 53533-9670
Phone (608) 574-5044
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.62 of 100
- Quality
- 94.84
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1770-023 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reedsburg Area Medical Center Inc | Current | Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current | Accepting new patients | |
| Dean Health Systems, Inc, | Past | Accepting new patients | |
| Peterson Dermatology, P.C. | Past | Accepting new patients |
Locations
2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487
1104 21st St
Reedsburg, WI 53959
Phone (608) 524-4303
Interoperability endpoints
- smotl656475@direct.unitypoint.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 7
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.
-
- Dermatology Physician
- Dodgeville, WI
- NPI 1023406493
-
- Critical Access Hospital
- Reedsburg, WI
- NPI 1891796710
-
- Rural Health Clinic/Center
- La Valle, WI
- NPI 1437049566
-
- Family Medicine Physician
- Reedsburg, WI
- NPI 1457780983
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Durable Medical Equipment & Medical Supplies
- Beaver Dam, WI
- NPI 1336425016
-
- Dermatology Physician
- Vidalia, GA
- NPI 1932300886
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Reedsburg, WI
- NPI 1891796710
-
- Critical Access Hospital
- Dodgeville, WI
- NPI 1487745501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453420800000",
"number": "1407811151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "833 S IOWA ST",
"address_2": "STE 102",
"city": "DODGEVILLE",
"state": "WI",
"postal_code": "535331900",
"telephone_number": "608-935-3301",
"fax_number": "608-935-3823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 S IOWA ST",
"address_2": "STE 102",
"city": "DODGEVILLE",
"state": "WI",
"postal_code": "535331900",
"telephone_number": "608-935-3301",
"fax_number": "608-935-3853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTL",
"first_name": "SARAH",
"middle_name": "M",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-18",
"last_updated": "2016-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "1770-023",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1407811151",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dodgeville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; 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.