Active NPI
Karen M Wayda, PA C
- Surgical Physician Assistant
- Waunakee, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 1373-23
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 62578 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Circle Medical Care Group PA | Current | Accepting new patients | |
| Advanced Pain Management, SC | Current | Accepting new patients | |
| Advanced Pain Management SC | Current | Accepting new patients | |
| Pain Physicians of Wisconsin, SC | Past | 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.
-
- Pain Medicine Physician
- Greenfield, WI
- NPI 1770506669
-
- Durable Medical Equipment & Medical Supplies
- Evansville, IN
- NPI 1669832655
-
- Interventional Pain Medicine Physician
- Milwaukee, WI
- NPI 1679119689
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.