Individual provider Active NPI

Dalton Stephen Menke, PA-C

  • Physician Assistant
  • Milwaukee, WI
National Provider Identifier
1871118174
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
8117-23 Issued in WI
Practice address
2600 N Mayfair Rd Ste 810
Milwaukee, WI 53226-1328
Phone
(414) 771-1122
Fax
(414) 771-1352
NPI assigned
Jun 11, 2020
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 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 8117-23 WI Primary

Addresses

Primary practice location

2600 N Mayfair Rd Ste 810
Milwaukee, WI 53226-1328

Mailing address

801 York St
Manitowoc, WI 54220-4630
Phone (920) 663-9008

Other practice location 1

10500 W Loomis Rd Ste 110
Franklin, WI 53132-8030
Phone (262) 898-4400

Other practice location 2

16455 W Bluemound Rd
Brookfield, WI 53005-5921
Phone (262) 784-7820

Other practice location 3

1320 Pabst Farms Cir Unit 180
Oconomowoc, WI 53066-4878
Phone (262) 560-0322

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address Dalton.Menke@forefrontdermatology.emadirect.md
Direct Messaging Address Dalton.Menke@forefrontdermatology.emadirect.md
Direct Messaging Address Dalton.Menke@forefrontdermatology.emadirect.md
Direct Messaging Address Dalton.Menke@forefrontdermatology.emadirect.md

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230328001223 IL Practitioner - Physician Assistant 4486028735
I20241105001100 WI Practitioner - Physician Assistant 4486028735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

2600 N Mayfair Rd
Suite 810
Milwaukee, WI 53226-1328
Phone (414) 771-1122

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
100
Improvement activities
40
Cost
62.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8117-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Oct 28, 2024 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Oct 28, 2024 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Forefront Dermatology, S.C. PastSince Feb 1, 2025 Accepting new patients
Forefront Dermatology, S.C. Past Accepting new patients
Stenstrom Dermatology SC PastSince Feb 1, 2023 Accepting new patients

Locations

17100 W North Ave
Ste 200
Brookfield, WI 53005
Phone (262) 784-3800

1400 Scheuring Rd
De Pere, WI 54115
Phone (920) 964-0229

10500 W Loomis Rd
Ste 110
Franklin, WI 53132
Phone (262) 898-4420

1245 Cheyenne Ave
Ste 301
Grafton, WI 53024
Phone (262) 377-2222

801 York St
Manitowoc, WI 54220
Phone (866) 630-9882

1320 Pabst Farms Cir
Unit 180
Oconomowoc, WI 53066
Phone (262) 560-0322

2600 N Mayfair Rd
Ste 810
Wauwatosa, WI 53226
Phone (414) 771-1122

Interoperability endpoints

  • Direct secure messaging: dalton.menke@forefrontdermatology.emadirect.md

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1871118174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD STE 810",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261328",
            "telephone_number": "414-771-1122",
            "fax_number": "414-771-1352"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10500 W Loomis Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531328030",
            "country_code": "US",
            "telephone_number": "262-898-4400",
            "fax_number": "414-858-9104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16455 W Bluemound Rd",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530055921",
            "country_code": "US",
            "telephone_number": "262-784-7820",
            "fax_number": "262-784-7936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1320 Pabst Farms Cir Unit 180",
            "address_purpose": "LOCATION",
            "city": "Oconomowoc",
            "state": "WI",
            "postal_code": "530664878",
            "country_code": "US",
            "telephone_number": "262-560-0322",
            "fax_number": "262-560-0379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENKE",
        "first_name": "DALTON",
        "middle_name": "STEPHEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "8117-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dalton.Menke@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "2600 N Mayfair Rd Ste 810",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532261328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dalton.Menke@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "16455 W Bluemound Rd",
            "city": "Brookfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530055921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dalton.Menke@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "10500 W Loomis Rd Ste 110",
            "city": "Franklin",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531328030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Dalton.Menke@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1320 Pabst Farms Cir Unit 180",
            "city": "Oconomowoc",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530664878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.