Individual provider Active NPI

Sawyer Mentink, PA-C

  • Physician Assistant
  • Milwaukee, WI
National Provider Identifier
1811886013
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8465-23 Issued in WI
Practice address
777 N Van Buren St Apt 2908
Milwaukee, WI 53202-3864
Phone
(920) 980-7545
NPI assigned
Jul 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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 8465-23 WI Primary

Addresses

Primary practice location

777 N Van Buren St Apt 2908
Milwaukee, WI 53202-3864

Mailing address

777 N Van Buren St Apt 2908
Milwaukee, WI 53202-3864
Phone (920) 980-7545

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
I20251208001318 WI Practitioner - Physician Assistant 9335632397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10625 W N Ave
Suite 101
Milwaukee, WI 53226-2315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8465-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Specialists, S.C. CurrentSince Nov 1, 2025 Accepting new patients

Locations

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

Organizations & group practices 1

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": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1811886013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N VAN BUREN ST APT 2908",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023864",
            "telephone_number": "920-980-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N VAN BUREN ST APT 2908",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532023864",
            "telephone_number": "920-980-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENTINK",
        "first_name": "SAWYER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "8465-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.