Individual provider Active NPI

Amber Ward, PA

  • Physician Assistant
  • Milwaukee, WI
National Provider Identifier
1760613327
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2434-023 Issued in WI
Practice address
4117 N Green Bay Ave
Milwaukee, WI 53209-7019
Phone
(414) 218-8670
NPI assigned
Jul 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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 2434-023 WI Primary

Addresses

Primary practice location

4117 N Green Bay Ave
Milwaukee, WI 53209-7019

Mailing address

4117 N Green Bay Ave
Milwaukee, WI 53209-7019
Phone (414) 218-8670

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
I20150213001433 WI Practitioner - Physician Assistant 1759527831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Southern California Keck School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4117 N Green Bay Ave
Milwaukee, WI 53209-7019
Phone (414) 218-8670

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2434-023WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Shorehaven Behavioral Health Inc Psychiatry CurrentSince Dec 1, 2014 Accepting new patients
Center for Pain Management, SC Past Accepting new patients

Locations

3900 W Brown Deer Rd
Ste 200
Milwaukee, WI 53209

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1760613327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4117 N GREEN BAY AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532097019",
            "telephone_number": "414-218-8670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4117 N GREEN BAY AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532097019",
            "telephone_number": "414-218-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "AMBER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-30",
        "last_updated": "2024-06-06",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2434-023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.