Active NPI
Gina Budjak, DC
- Chiropractor
- Plymouth, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6068-12
- Practice address
- 2600 Kiley Way
Plymouth, WI 53073-5020 - Phone
- (920) 449-7290
- Fax
- (920) 449-7291
- NPI assigned
- Apr 12, 2023
- Last updated
- May 19, 2026
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6068-12 | WI | Primary |
Addresses
Primary practice location
2600 Kiley Way
Plymouth, WI 53073-5020
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (262) 532-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100238015 | Medicaid | WI |
Other names 1
- Gina Percuoco
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| Direct Messaging Address | gpercuoco372349@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2600 Kiley Way
Plymouth, WI 53073-5020
Phone (920) 449-7000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6068-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeshore Medical Clinic, LLC | Current | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
N112W17975 Mequon Rd
Germantown, WI 53022
Phone (262) 532-7600
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
200 E Ryan Rd
Oak Creek, WI 53154
Phone (414) 570-3590
2600 Kiley Way
Plymouth, WI 53073
Phone (920) 449-7000
2000 E Layton Ave
St Francis, WI 53235
Phone (414) 744-7880
205 Valley Ave
West Bend, WI 53095
Phone (262) 338-1123
Interoperability endpoints
- gpercuoco372349@direct.myadvocateaurora.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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-
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- NPI 1265629133
-
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- NPI 1003861188
-
- Durable Medical Equipment & Medical Supplies
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- NPI 1477186633
-
- Durable Medical Equipment & Medical Supplies
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- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1588350771",
"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",
"telephone_number": "262-532-7600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 KILEY WAY",
"city": "PLYMOUTH",
"state": "WI",
"postal_code": "530735020",
"telephone_number": "920-449-7290",
"fax_number": "920-449-7291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDJAK",
"first_name": "GINA",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-12",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "6068-12",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100238015",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "N112W17975 Mequon Rd",
"city": "Germantown",
"state": "WI",
"country_code": "US",
"postal_code": "530222425",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gpercuoco372349@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "N112W17975 Mequon Rd",
"city": "Germantown",
"state": "WI",
"country_code": "US",
"postal_code": "530222425",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GINA",
"last_name": "PERCUOCO",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Plymouth, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.