Individual provider Active NPI

Megan H. Hackel, PA

  • Physician Assistant
  • Waukesha, WI
National Provider Identifier
1487617544
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1324023 Issued in WI
Practice address
W231N1440 Corporate CT
Waukesha, WI 53186-1303
Phone
(262) 896-6000
NPI assigned
Apr 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1324023 WI Primary

Addresses

Primary practice location

W231N1440 Corporate CT
Waukesha, WI 53186-1303

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice location 1

4131 W. Loomis Rd.
Ste 300
Greenfield, WI 53221-2059
Phone (414) 325-7246

Other identifiers 1

IdentifierTypeStateIssuer
41927700MedicaidWI

Other names 1

  • Megan H Locke Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050414000292 WI Practitioner - Physician Assistant 0840237558 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056

36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-5000

W231 N1440 Corporate Court
Waukesha, WI 53186-1303
Phone (262) 896-6070

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1324023WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Pain Management SC CurrentSince Mar 14, 2005 Accepting new patients
Wisconsin Spine and Pain SC CurrentSince Nov 6, 2020 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jan 28, 2022 Accepting new patients
Advanced Pain Management, SC CurrentSince Mar 14, 2005 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jan 28, 2022 Accepting new patients
Wisconsin Spine and Pain SC CurrentSince Nov 6, 2020 Accepting new patients
Commonwealth Medical Group, LLC Physician Assistant Past Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients
Madison Surgicenter LLC Past Accepting new patients

Locations

Dept CH 17057
Palatine, IL 60055

1050 Milwaukee Ave
Ste 102
Burlington, WI 53105
Phone (262) 758-6155

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

4131 W Loomis Rd
Ste 300
Milwaukee, WI 53221
Phone (414) 325-3713

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

2901 W Kinnickinnic River Pkwy
Ste 414
Milwaukee, WI 53215
Phone (414) 385-8680

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

4216 S Green Bay Rd
Mount Pleasant, WI 53403
Phone (262) 598-7246

2124 Kohler Memorial Dr
Ste 110
Sheboygan, WI 53081
Phone (833) 821-7246

36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000

W231N1440 Corporate Ct
Waukesha, WI 53186
Phone (262) 896-6000

959 N Mayfair Rd
Ste 100
Wauwatosa, WI 53226
Phone (414) 955-7246

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696377600000",
    "number": "1487617544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 735044",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606735044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W231N1440 CORPORATE CT",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531861303",
            "telephone_number": "262-896-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4131 W. Loomis Rd.",
            "address_2": "Ste 300",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "WI",
            "postal_code": "532212059",
            "country_code": "US",
            "telephone_number": "414-325-7246",
            "fax_number": "414-325-3770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKEL",
        "first_name": "MEGAN",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1324023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41927700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "LOCKE",
            "middle_name": "H",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Waukesha, WI

Sources for this page

Verify at the official NPI Registry.