Active NPI
Michelle J Wadewitz, AU.D.
- Audiologist
- Greenfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 541-156
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100004916 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Audiologist | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| S J Millen, MD.SC | Audiologist | Past | Accepting new patients |
| Milwaukee Otologic Auditory Rehabilitation Services LTD. | Audiologist | Past | 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.
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Audiologist, WI
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Milwaukee, WI
- NPI 1659599157
-
- Hearing and Speech Clinic/Center
- Hales Corners, WI
- NPI 1134243967
Audiologist
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.