Individual provider Active NPI

Karen M Wayda, PA C

  • Surgical Physician Assistant
  • Waunakee, WI
National Provider Identifier
1659445682
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
1373-23 Issued in WI
Practice address
7300 Clover Hill Dr
Waunakee, WI 53597-9355
Phone
(608) 235-4630
NPI assigned
Nov 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1373-23 WI
Surgical Physician Assistant 363AS0400X 1373-23 WI Primary

Addresses

Primary practice location

7300 Clover Hill Dr
Waunakee, WI 53597-9355

Mailing address

7300 Clover Hill Dr
Waunakee, WI 53597-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090129000305 WI Practitioner - Physician Assistant 3971667338 Reassigns benefits to 1 organization
I20240807004358 CA Practitioner - Physician Assistant 3971667338 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
62578CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Circle Medical Care Group PA CurrentSince Jan 14, 2026 Accepting new patients
Advanced Pain Management, SC CurrentSince Sep 28, 2015 Accepting new patients
Advanced Pain Management SC CurrentSince Sep 28, 2015 Accepting new patients
Pain Physicians of Wisconsin, SC PastSince Dec 1, 2019 Accepting new patients

Locations

333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

1604 Madison Ave
Fort Atkinson, WI 53538
Phone (920) 568-5000

34 Schroeder Ct
Ste 100
Madison, WI 53711
Phone (608) 288-7246

4131 W Loomis Rd
Ste 300
Milwaukee, WI 53221
Phone (414) 325-3713

790 N Milwaukee St
Ste 313
Milwaukee, WI 53202

301 E 2nd St
Richland Ctr, WI 53581
Phone (608) 647-6161

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1659445682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 CLOVER HILL DR",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535979355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 CLOVER HILL DR",
            "city": "WAUNAKEE",
            "state": "WI",
            "postal_code": "535979355",
            "telephone_number": "608-235-4630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYDA",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1373-23",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WI",
            "license": "1373-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waunakee, WI

Sources for this page

Verify at the official NPI Registry.