Active NPI
Antoinette J Ankenbrandt, PA
- Physician Assistant
- Baraboo, WI
National Provider Identifier
1790748622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 368
- Practice address
- 707 14TH St
Baraboo, WI 53913-1539 - Phone
- (608) 356-1400
- NPI assigned
- Apr 11, 2006
- Sex
- Female
- Sole proprietor
- No
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 | 368 | WI | Primary |
Addresses
Primary practice location
707 14TH St
Baraboo, WI 53913-1539
Mailing address
707 14TH St
Baraboo, WI 53913-1539
Phone (608) 356-1400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00215997 | Other | WI | RR MEDICARE PROV # |
| 70 | Other | WI | DC PROV # |
| 1009390 | Other | WI | PHYS PLUS PROV # |
| 42958700 | Medicaid | WI |
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Health Care of Wisconsin, Inc. | Past | Accepting new patients | |
| SSM Healthcare of Wi Inc | Past | Accepting new patients | |
| SSM Health Treatment and Recovery Center | Past | Accepting new patients | |
| SSM Healthcare of Wi Inc | Past | Accepting new patients | |
| SSM Health Care of Wisconsin Inc | Past | Accepting new patients |
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1790748622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 14TH ST",
"city": "BARABOO",
"state": "WI",
"postal_code": "539131539",
"telephone_number": "608-356-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 14TH ST",
"city": "BARABOO",
"state": "WI",
"postal_code": "539131539",
"telephone_number": "608-356-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANKENBRANDT",
"first_name": "ANTOINETTE",
"middle_name": "J",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "368",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE PROV #",
"identifier": "P00215997",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DC PROV #",
"identifier": "70",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYS PLUS PROV #",
"identifier": "1009390",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42958700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baraboo, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.