Beth M Gagliardo, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5380 Issued in WI

Practice address

400 Water Ave
Hillsboro, WI 54634-9054

Phone

(608) 489-8000

NPI assigned

Oct 26, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Albany Medical College of Union University, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Josephs Health Services IncGroup PAC ID 3971586439, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Agrace Hospicecare Hospice, Madison, WI, CCN 521505
• Gundersen St Josephs Hospital and Clinics Hospital, Hillsboro, WI, CCN 521304

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bgagliardo758422@direct.emplifyhealth.org

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.

• St. Joseph'S Health Services, Inc.

  • Critical Access Hospital
  • Hillsboro, WI
  • NPI 1972591410
  Medicare reassignment Care Compare group NPD
• St. Joseph'S Health Services, Inc.

  • Clinic/Center
  • Hillsboro, WI
  • NPI 1104031798
  Medicare reassignment
• St. Joseph'S Health Services, Inc.

  • Clinic/Center
  • Elroy, WI
  • NPI 1699788273
  NPD
• Provisions Health

  • Family Medicine Physician
  • Eau Claire, WI
  • NPI 1508875840
  NPD (past)
• Provisions Health Services

  • Clinic/Center
  • Eau Claire, WI
  • NPI 1487229761
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Agrace Hospicecare, Incorporated

  • Community Based Hospice Care Agency
  • Fitchburg, WI
  • NPI 1861503534
  Care Compare affiliation
• St. Joseph'S Health Services, Inc.

  • Critical Access Hospital
  • Hillsboro, WI
  • NPI 1972591410
  Care Compare affiliation

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674172800000",
    "number": "1871965244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WATER AVE",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "546349054",
            "telephone_number": "608-489-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WATER AVE",
            "city": "HILLSBORO",
            "state": "WI",
            "postal_code": "546349054",
            "telephone_number": "608-489-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIARDO",
        "first_name": "BETH",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2023-01-20",
        "certification_date": "2023-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09746",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WI",
            "license": "5380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Eastman, RN
• Katherine S Edsall, MD
• Samantha R. Erie, PA-C
• Colette Jean Fitzpatrick, CRNA
• Cory M Frederick, OTR CLT
• Michelle Gardner, APNP
• Paul W Gasser, MS MFT LCSW CADC III
• Kaitlyn Marie Gorn, LMT
• Gundersen Clinic, LTD.
• Gundersen Clinic, LTD.

• Medical Physician Assistant in Hillsboro, WI
• Providers in Hillsboro, WI by specialty
• Medical Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2023; 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.

Verify at the official NPI Registry.