Individual provider Active NPI

Aimee Lucie Eugenia Wattiaux, MD

  • Family Medicine Physician
  • Fitchburg, WI
National Provider Identifier
1720720915
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
82980-20 Issued in WI
Practice address
2990 Triverton Pike Dr Ste 101
Fitchburg, WI 53711-5922
Phone
(608) 305-4515
NPI assigned
Apr 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 82980-20 WI Primary

Addresses

Primary practice location

2990 Triverton Pike Dr Ste 101
Fitchburg, WI 53711-5922

Mailing address

2990 Triverton Pike Dr Ste 101
Fitchburg, WI 53711-5922
Phone (608) 305-4515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Sep 3, 2025 through Sep 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
82980-20WIMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1720720915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 TRIVERTON PIKE DR STE 101",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115922",
            "telephone_number": "608-305-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 TRIVERTON PIKE DR STE 101",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115922",
            "telephone_number": "608-305-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATTIAUX",
        "first_name": "AIMEE",
        "middle_name": "LUCIE EUGENIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "82980-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fitchburg, WI

Sources for this page

Verify at the official NPI Registry.