Active NPI
William P Mustas, P.A.
- Physician Assistant
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1307
- Practice address
- 1111 Delafield St Ste 215
Waukesha, WI 53188-3403 - Phone
- (262) 542-0074
- Fax
- (262) 542-2803
- NPI assigned
- Aug 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1307 | WI | Primary |
Addresses
Primary practice location
1111 Delafield St Ste 215
Waukesha, WI 53188-3403
Mailing address
1111 Delafield St Ste 215
Waukesha, WI 53188-3403
Phone (262) 542-0074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1703 | Other | WI | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1302 Calle de la Merced
Suite E
Espanola, NM 87532-2630
Phone (505) 753-9292
3917 W Rd
Suite 137
Los Alamos, NM 87544-5307
Phone (505) 661-9526
Hospital & facility affiliations
- Los Alamos Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Southeast Wisconsin Inc | Physician Assistant | Current | Accepting new patients |
| Los Alamos Physician Practices, LLC | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Past | Accepting new patients |
Locations
3917 West Rd
Ste 137
Los Alamos, NM 87544
Phone (505) 661-8500
3917 West Rd
Ste 139
Los Alamos, NM 87544
Phone (505) 661-3030
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Interoperability endpoints
- william.mustas.1@19849.direct.athenahealth.com
- williammustas@metro.medalliesdirect.net
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Los Alamos, NM
- NPI 1750330510
-
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Physician Assistant
-
- Urology Physician
- Milwaukee, WI
- NPI 1336201110
-
- Surgery Physician
- Los Alamos, NM
- NPI 1801075783
-
- Family Medicine Physician
- Waukesha, WI
- NPI 1790720613
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Los Alamos, NM
- NPI 1285701623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1629080932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 DELAFIELD ST STE 215",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531883403",
"telephone_number": "262-542-0074",
"fax_number": "262-542-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 DELAFIELD ST STE 215",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531883403",
"telephone_number": "262-542-0074",
"fax_number": "262-542-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSTAS",
"first_name": "WILLIAM",
"middle_name": "P",
"credential": "P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "1307",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "1703",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.