Individual provider Active NPI

Andrew Benton Padley, APNP

  • Nurse Practitioner
  • Prairie Du Sac, WI
National Provider Identifier
1659843886
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9540-33 Issued in WI
Practice address
260 26TH St
Prairie Du Sac, WI 53578-2203
Phone
(608) 742-4131
NPI assigned
Dec 28, 2018
Last updated
Jun 20, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9540-33 WI Primary
Home Health Registered Nurse 163WH0200X 227040-30 WI

Addresses

Primary practice location

260 26TH St
Prairie Du Sac, WI 53578-2203

Mailing address

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20191106001330 WI Practitioner - Nurse Practitioner 4486986759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sauk Prairie Healthcare IncGroup PAC ID 8224948054, shared by 9 NPIs, 122 clinicians

Practice addresses (Care Compare)

160 Valley Dr
Lodi, WI 53555-1464
Phone (608) 592-3296

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
227040-30WIMDHome Health Registered Nurse
9540-33WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sauk Prairie Healthcare Inc Nurse Practitioner CurrentSince Aug 1, 2022 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Sauk Prairie Healthcare, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Sauk Prairie Healthcare Inc CurrentSince Aug 1, 2022 Accepting new patients
Sauk Prairie Healthcare Inc Current Accepting new patients
Sauk Prairie Healthcare Inc Past Accepting new patients
Sauk Prairie Healthcare Inc Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

160 Valley Dr
Lodi, WI 53555
Phone (608) 592-3296

506 Crocker St
Ste 3
Mazomanie, WI 53560
Phone (608) 795-4110

506 Crocker St
Ste Hts
Mazomanie, WI 53560

825 Main St
Plain, WI 53577
Phone (608) 546-4211

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471

436 Sunrise Dr
Spring Green, WI 53588
Phone (608) 588-2502

Interoperability endpoints

  • Direct secure messaging: andrew.padley@direct.saukprairiehealthcare.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1659843886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 NEW PINERY RD",
            "city": "PORTAGE",
            "state": "WI",
            "postal_code": "539019240",
            "telephone_number": "608-742-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 26TH ST",
            "city": "PRAIRIE DU SAC",
            "state": "WI",
            "postal_code": "535782203",
            "telephone_number": "608-742-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADLEY",
        "first_name": "ANDREW",
        "middle_name": "BENTON",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-28",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "9540-33",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "WI",
            "license": "227040-30",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Du Sac, WI

Sources for this page

Verify at the official NPI Registry.