Active NPI
Paula Marie Kasuboski, NP
- Nurse Practitioner
- Sun City West, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 315752
- Practice address
- 14520 W Granite Valley Dr Ste 120
Sun City West, AZ 85375-5855 - Phone
- (866) 974-2673
- Fax
- (866) 939-2673
- NPI assigned
- Feb 18, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3682 | WI | |
| Nurse Practitioner | 363L00000X | 315752 | AZ | Primary |
Addresses
Primary practice location
14520 W Granite Valley Dr Ste 120
Sun City West, AZ 85375-5855
Mailing address
18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673
Other practice location 1
855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8880 ext. 4059
Other practice location 2
835 Parkside St
Ripon, WI 54971-8505
Phone (920) 745-3500
Other practice location 3
620 W Brown St
Waupun, WI 53963-1702
Phone (920) 324-5581
Other practice location 4
2205 N Calhoun Rd
Brookfield, WI 53005-5062
Phone (262) 784-2131
Other practice location 5
855 N Westhaven Dr
Oshkosh, WI 54904-7668
Phone (920) 303-8700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100002763 | Medicaid | WI | |
| 110643 | Other | WI | WISCONSIN LICENSE NUMBER |
| 368233 | Other | WI | NP LICENSE NUMBER |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | pkasuboski491114@direct-ehr-ssmhc.com | Direct | AGNESIAN HEALTHCARE INC |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ | ||
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | AGNESIAN HEALTHCARE INC |
| Direct Messaging Address | pkasuboski67214@direct.myadvocateaurora.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Marian University College of Osteopathic Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14520 W Granite Valley Dr
Suite 120
Sun City West, AZ 85375-5855
Phone (866) 974-2673
835 Parkside St
Ripon, WI 54971-8505
Phone (920) 748-3101
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 315752 | AZ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Orthopedic Research and Education LLC | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Current | Accepting new patients | |
| Agnesian Healthcare, Inc | Current | Accepting new patients | |
| Center for Orthopedic Research and Education, LLC | Nurse Practitioner | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706
10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
360 S Mountin Dr
Mayville, WI 53050
Phone (920) 387-2111
835 Parkside St
Ripon, WI 54971
Phone (920) 745-3520
620 W Brown St
Waupun, WI 53963
Phone (920) 324-5581
Interoperability endpoints
- pkasuboski67214@direct.myadvocateaurora.org
- paula.kasuboski.1@22724.direct.athenahealth.com
- pkasuboski491114@direct-ehr-ssmhc.com
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1427095801
Nurse Practitioner
-
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
-
- Durable Medical Equipment & Medical Supplies
- Flagstaff, AZ
- NPI 1063251056
-
- Community/Retail Pharmacy
- Waupun, WI
- NPI 1366417917
-
- Family Medicine Physician
- Fond Du Lac, WI
- NPI 1730162991
-
- Durable Medical Equipment & Medical Supplies
- Manitowoc, WI
- NPI 1801941075
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sun City West, AZ
- NPI 1588823553
-
- Special Hospital
- Phoenix, AZ
- NPI 1902881295
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1275578064
-
- Critical Access Hospital
- Ripon, WI
- NPI 1053362624
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759449600000",
"number": "1801035613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18444 N 25TH AVE STE 310",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850231266",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14520 W GRANITE VALLEY DR STE 120",
"city": "SUN CITY WEST",
"state": "AZ",
"postal_code": "853755855",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673"
}
],
"practiceLocations": [
{
"address_1": "855 N Westhaven Dr",
"address_purpose": "LOCATION",
"city": "Oshkosh",
"state": "WI",
"postal_code": "549047668",
"country_code": "US",
"telephone_number": "920-303-8880 x4059",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "835 Parkside St",
"address_purpose": "LOCATION",
"city": "Ripon",
"state": "WI",
"postal_code": "549718505",
"country_code": "US",
"telephone_number": "920-745-3500",
"fax_number": "920-745-7930",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 W Brown St",
"address_purpose": "LOCATION",
"city": "Waupun",
"state": "WI",
"postal_code": "539631702",
"country_code": "US",
"telephone_number": "920-324-5581",
"fax_number": "920-926-4875",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2205 N Calhoun Rd",
"address_purpose": "LOCATION",
"city": "Brookfield",
"state": "WI",
"postal_code": "530055062",
"country_code": "US",
"telephone_number": "262-784-2131",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "855 N Westhaven Dr",
"address_purpose": "LOCATION",
"city": "Oshkosh",
"state": "WI",
"postal_code": "549047668",
"country_code": "US",
"telephone_number": "920-303-8700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KASUBOSKI",
"first_name": "PAULA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-18",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "3682",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "315752",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100002763",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WISCONSIN LICENSE NUMBER",
"identifier": "110643",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP LICENSE NUMBER",
"identifier": "368233",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pkasuboski491114@direct-ehr-ssmhc.com",
"affiliation": "Y",
"affiliationName": "AGNESIAN HEALTHCARE INC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "pkasuboski491114@direct-ehr-ssmhc.com",
"address_1": "835 Parkside St",
"city": "Ripon",
"state": "WI",
"country_code": "US",
"postal_code": "549718505",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "855 N Westhaven Dr",
"city": "Oshkosh",
"state": "WI",
"country_code": "US",
"postal_code": "549047668",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "AGNESIAN HEALTHCARE INC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "835 Parkside St",
"city": "Ripon",
"state": "WI",
"country_code": "US",
"postal_code": "549718505",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "pkasuboski67214@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "855 N Westhaven Dr",
"city": "Oshkosh",
"state": "WI",
"country_code": "US",
"postal_code": "549047668",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sun City West, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.