Active NPI
Ni Thi Mi Cao, PA-C
- Physician Assistant
- Waukesha, WI
National Provider Identifier
1720765191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 844923
- Practice address
- 725 American Ave
Waukesha, WI 53188-5031 - Phone
- (262) 617-5663
- NPI assigned
- Jun 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 844923 | WI | Primary |
Addresses
Primary practice location
725 American Ave
Waukesha, WI 53188-5031
Mailing address
2328 N 73Rd St
Wauwatosa, WI 53213-1210
Phone (262) 617-5663
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, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
8 Pak Park Dr
Bedford, MA 01730-1414
PO Box
Milwaukee, WI 53288
Hospital & facility affiliations
- Waukesha Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 844923 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Country Emergency Physicians | Multi-Specialty | Current | Accepting new patients |
Locations
791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Oconomowoc, WI
- NPI 1720060585
Multi-Specialty
-
- Emergency Medicine Physician
- Waukesha, WI
- NPI 1861483190
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1720765191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2328 N 73RD ST",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532131210",
"telephone_number": "262-617-5663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 AMERICAN AVE",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531885031",
"telephone_number": "262-617-5663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAO",
"first_name": "NI",
"middle_name": "THI MI",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-28",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": "WI",
"license": "844923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
- Jalesha K Campbell, MS
- James Marcel Campeaux, 2047132 CSAC 1161213
- Candace Buckley
- Moeneek Cannaday
- Thomas P Cantieri, M.D.
- Rylee R Capesius, PA
- Beethoven Carabacan, LAT, CSCS, BS, MS
- Cardio Sleep Solutions Wisconsin LLC
- Cardiology Associates of Waukesha, S.C.
- Cardiovascular Medicine of Waukesha, S.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.