Individual provider Active NPI

Tammy S Pedretti, P.A.

  • Physician Assistant
  • Soldiers Grove, WI
National Provider Identifier
1740224492
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1396 Issued in WI
Practice address
102 Sunset Ave
Soldiers Grove, WI 54655-1400
Phone
(608) 637-4230
Fax
(608) 637-4214
NPI assigned
Jun 15, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1396 WI Primary

Addresses

Primary practice location

102 Sunset Ave
Soldiers Grove, WI 54655-1400

Mailing address

102 Sunset Ave
Soldiers Grove, WI 54655
Phone (608) 637-4230

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
I20101008000131 WI Practitioner - Physician Assistant 8628260676 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vernon Memorial Healthcare IncGroup PAC ID 8325958416, 73 clinicians

Practice addresses (Care Compare)

102 Sunset Ave
Soldiers Grove, WI 54655-1400
Phone (608) 624-5203

407 S Main St
Suite 400
Viroqua, WI 54665-4000
Phone (608) 637-3174

507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-2101

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vernon Memorial Healthcare, Inc. CurrentSince Jul 18, 2001 Accepting new patients
Vernon Memorial Healthcare, Inc. CurrentSince Jul 18, 2001 Accepting new patients

Locations

102 Sunset Ave
Soldiers Grove, WI 54655
Phone (608) 624-5203

507 S Main St
Viroqua, WI 54665
Phone (608) 637-2101

Interoperability endpoints

  • Direct secure messaging: tpedretti15665@direct.emplifyhealth.org

Organizations & group practices 3

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 1

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740224492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SUNSET AVE",
            "city": "SOLDIERS GROVE",
            "state": "WI",
            "postal_code": "54655",
            "telephone_number": "608-637-4230",
            "fax_number": "608-637-4214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 SUNSET AVE",
            "city": "SOLDIERS GROVE",
            "state": "WI",
            "postal_code": "546551400",
            "telephone_number": "608-637-4230",
            "fax_number": "608-637-4214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRETTI",
        "first_name": "TAMMY",
        "middle_name": "S",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "1396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soldiers Grove, WI

Sources for this page

Verify at the official NPI Registry.