Cathy Fakler Azzarello, M.D.
Individual provider Active NPI Pediatrics Physician · Hancock, MI
NPI 1427166313 · NPPES record last updated May 13, 2026
Key facts
- NPI
- 1427166313
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 4301111513 (MI)
- Practice address
- 500 Campus Dr
Hancock, MI 49930-1452 - Phone
- (906) 483-1700
- Fax
- (906) 372-3230
- NPI assigned
- Aug 29, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
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: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160104002255 | WI | Practitioner - Pediatric Medicine | 8729380050 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301111513 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Current |
Accepting new patients | |
| Portage Hospital LLC | Past | Accepting new patients | |
| Upper Great Lakes Family Health Center | Past | Accepting new patients | |
| Upper Great Lakes Family Health Center | Past | Accepting new patients | |
| Upper Great Lakes Family Health Center | Past | Accepting new patients |
Locations
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100
Interoperability endpoints
- cathy.azzarello@uglfhc.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301111513 | MI | Yes |
Addresses
Primary practice location
500 Campus Dr
Hancock, MI 49930-1452
Mailing address
135 E M35
Gwinn, MI 49841-9160
Phone (906) 346-4924
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427166313 | Medicaid | MI |
Other names
- Cathy R Fakler
Other providers in Hancock, MI
- Aspirus Superior Home Health and Hospice Inc
- Aspirus Vna Home Health Inc.
- Aspirus Vna Home Health, Inc.
- Atlas Radiology PC
- Authentic Wellness, LLC
- Kristen Louise Babakitis
- Amy Bachhuber
- Ashley Bakewell
- Jocelyn Barney
- Gretchen May Bartelli
All providers in Hancock, MI · Pediatrics Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2026. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.