Individual provider Active NPI

Michelle J Wadewitz, AU.D.

  • Audiologist
  • Greenfield, WI
National Provider Identifier
1609008200
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
541-156 Issued in WI
Practice address
4448 W Loomis Rd
Greenfield, WI 53220-4800
Phone
(414) 281-5150
NPI assigned
Aug 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 541-156 WI Primary

Addresses

Primary practice location

4448 W Loomis Rd
Greenfield, WI 53220-4800

Mailing address

PO Box 735044
Chicago, IL 60673-5044
Phone (414) 817-3444

Other identifiers 1

IdentifierTypeStateIssuer
100004916MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mwadewitz203742@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090928000725 WI Practitioner - Qualified Audiologist 9931255262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc. 3,764 clinicians

Practice addresses (Care Compare)

3111 W Rawson Ave
Suite 220
Franklin, WI 53132-9417
Phone (414) 281-4466

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Sep 4, 2018 Accepting new patients
Aurora Medical Group, Inc. Audiologist Current Accepting new patients
Aurora Medical Group, Inc. CurrentSince Sep 4, 2018 Accepting new patients
S J Millen, MD.SC Audiologist PastSince Oct 24, 2009 Accepting new patients
Milwaukee Otologic Auditory Rehabilitation Services LTD. Audiologist PastSince Oct 24, 2009 Accepting new patients

Locations

3111 W Rawson Ave
Ste 220
Franklin, WI 53132
Phone (414) 325-4450

11035 W Forest Home Ave
Ste 108
Hales Corners, WI 53130
Phone (414) 529-3215

11035 W Forest Home Ave
#108
Hales Corners, WI 53130
Phone (414) 529-3215

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

4448 W Loomis Rd
Milwaukee, WI 53220
Phone (414) 281-5150

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1609008200",
    "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": "414-817-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4448 W LOOMIS RD",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532204800",
            "telephone_number": "414-281-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADEWITZ",
        "first_name": "MICHELLE",
        "middle_name": "J",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WI",
            "license": "541-156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100004916",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwadewitz203742@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4448 W Loomis Rd",
            "city": "Greenfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532204800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "4448 W Loomis Rd",
            "city": "Greenfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532204800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenfield, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.

Verify at the official NPI Registry.