Andrew Edwin Stader

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4031-23 Issued in WI

Practice address

1450 Eastside Rd
Platteville, WI 53818-9800

Phone

(608) 348-4330

NPI assigned

Jun 12, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southwest Health Center IncGroup PAC ID 3072427772, 110 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest Health Center Hospital, Platteville, WI, CCN 521354
• Upland Hills Health Hospital, Dodgeville, WI, CCN 521352

Merit-based Incentive Payment System (MIPS)

Final score

80.26 of 100Reported as group

Quality

92.24

Promoting interoperability

100

Improvement activities

40

Cost

41.97

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: astader267181@direct-ehr-ssmhc.com

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.

• Southwest Health Center, Inc

  • Critical Access Hospital
  • Platteville, WI
  • NPI 1831279793
  Medicare reassignment Care Compare group NPD
• Southwest Health Center, Inc

  dba Southwest Health Kieler Clinic

  • Family Medicine Physician
  • Kieler, WI
  • NPI 1164130266
  NPD
• Southwest Health Center, Inc.

  dba Southwest Health Cuba City Clinic

  • Rural Health Clinic/Center
  • Cuba City, WI
  • NPI 1316324429
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southwest Health Center, Inc

  • Critical Access Hospital
  • Platteville, WI
  • NPI 1831279793
  Care Compare affiliation
• Upland Hills Health Inc

  dba Upland Hills Health Center

  • Surgery Physician
  • Dodgeville, WI
  • NPI 1821258740

  Hospital

  Care Compare affiliation
• Upland Hills Health, Inc

  dba Upland Hills Hospice

  • Community Based Hospice Care Agency
  • Dodgeville, WI
  • NPI 1659472397

  Hospital

  Care Compare affiliation
• Upland Hills Health, Inc

  dba Blackhawk Area Health Care

  • Family Medicine Physician
  • Highland, WI
  • NPI 1801971734

  Hospital

  Care Compare affiliation
• Upland Hills Health, Inc.

  dba Upland Hills Health Clinic - HIghland

  • Family Medicine Physician
  • Highland, WI
  • NPI 1083958698

  Hospital

  Care Compare affiliation
• Upland Hills Health, Inc.

  dba Upland Hills Health Clinic - Montfort

  • Family Medicine Physician
  • Montfort, WI
  • NPI 1356685960

  Hospital

  Care Compare affiliation
• Upland Hills Health, Inc.

  dba Upland Hills Health

  • Critical Access Hospital
  • Dodgeville, WI
  • NPI 1487745501
  Care Compare affiliation

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1639431935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 EASTSIDE RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538189800",
            "telephone_number": "608-348-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 EASTSIDE RD",
            "city": "PLATTEVILLE",
            "state": "WI",
            "postal_code": "538189800",
            "telephone_number": "608-348-4330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Highland Ave",
            "address_2": "MC 2433",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "53792",
            "country_code": "US",
            "telephone_number": "608-662-0817",
            "fax_number": "608-203-4544",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1400 Eastside Rd",
            "address_purpose": "LOCATION",
            "city": "Platteville",
            "state": "WI",
            "postal_code": "538189800",
            "country_code": "US",
            "telephone_number": "608-348-2331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STADER",
        "first_name": "ANDREW",
        "middle_name": "EDWIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2022-07-21",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "WI",
            "license": "1035546",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "4031-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ASTADER267181@DIRECT-EHR-SSMHC.COM",
            "affiliation": "Y",
            "affiliationName": "Southwest Health Center, Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ASTADER267181@DIRECT-EHR-SSMHC.COM",
            "address_1": "1450 Eastside Rd",
            "city": "Platteville",
            "state": "WI",
            "country_code": "US",
            "postal_code": "538189800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Southwestern Wi Communty Action Program (SWCAP Neighborhood Health Partners)
• Southwestern Wisconsin Community Action Program (Dental Hygiene Services and Dental Referral)
• Southwestern Wisconsin Community Action Program Inc (SWCAP Neighborhood Health Partners)
• Specific Adjustment Spine and Sports Injury Rehabilitation
• Spinal Institute of Health LLC
• Joseph Stader, PA-C
• Kerri Stange, PT
• Angela Diane Stauffacher, PHARMD
• Carol L Stephenson, L.P.N.
• Francine Marie Stout, CF-SLP

• Physician Assistant in Platteville, WI
• Providers in Platteville, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.

Verify at the official NPI Registry.