Active NPI
Peter G Collins, PA
- Physician Assistant
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 7232
- Practice address
- 150 S Sunny Slope Rd Ste 136
Brookfield, WI 53005-4858 - Phone
- (262) 786-4550
- Fax
- (262) 641-7323
- NPI assigned
- Jan 10, 2023
- Sex
- Male
- 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 | |||
| Physician Assistant | 363A00000X | 7232 | WI | Primary |
Addresses
Primary practice location
150 S Sunny Slope Rd Ste 136
Brookfield, WI 53005-4858
Mailing address
150 S Sunny Slope Rd Ste 136
Brookfield, WI 53005-4858
Phone (262) 786-4550
Other practice location 1
1818 N Meade St Ste 130
Appleton, WI 54911-3454
Phone (920) 831-1841
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710691100 | Medicaid | WI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1032 E Sumner St
Hartford, WI 53027-1608
Phone (262) 673-2300
150 S Sunny Slope Rd
Suite 136
Brookfield, WI 53005-4858
Phone (262) 786-4550
19333 W N Ave
Brookfield, WI 53045-4132
Phone (262) 785-2000
2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1000
36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-5000
8901 W Lincoln Ave
West Allis, WI 53227-2409
Phone (414) 328-7700
W180N8071 Town Hall Rd
Menomonee Falls, WI 53051-3518
Phone (262) 251-1000
Hospital & facility affiliations
- Aurora Medical Center - Summit
- Ascension SE Wisconsin Hospital
- Ascension Columbia St Marys Hospital Milwaukee
- Community Memorial Hospital
- Aurora St Lukes Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7232 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare, Incorporated | Current | Accepting new patients | |
| Thedacare, Incorporated | Current | Accepting new patients | |
| Thedacare Medical Center - Berlin, Inc. | Past | Accepting new patients |
Locations
1818 N Meade St
Ste 130
Appleton, WI 54911
Phone (920) 410-7310
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
Interoperability endpoints
- pcollins862804@direct.froedtert.com
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.
-
- Infectious Disease Physician
- Brookfield, WI
- NPI 1285684506
-
- Family Medicine Physician
- New London, WI
- NPI 1376656959
-
- Emergency Medicine Physician
- Milwaukee, WI
- NPI 1568413524
-
- Counselor
- Menasha, WI
- NPI 1306959515
-
- Critical Access Hospital
- Berlin, WI
- NPI 1760413777
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1427007384
-
- Rehabilitation Hospital Unit
- Brookfield, WI
- NPI 1861417362
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
- General Acute Care Hospital
- Summit, WI
- NPI 1699008029
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
-
- General Acute Care Hospital
- Menomonee Falls, WI
- NPI 1609822881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1710691100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 S SUNNY SLOPE RD STE 136",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054858",
"telephone_number": "262-786-4550",
"fax_number": "262-641-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S SUNNY SLOPE RD STE 136",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530054858",
"telephone_number": "262-786-4550",
"fax_number": "262-641-7323"
}
],
"practiceLocations": [
{
"address_1": "1818 N Meade St Ste 130",
"address_purpose": "LOCATION",
"city": "Appleton",
"state": "WI",
"postal_code": "549113454",
"country_code": "US",
"telephone_number": "920-831-1841",
"fax_number": "920-831-1834",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLLINS",
"first_name": "PETER",
"middle_name": "G",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-10",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "7232",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710691100",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.