Madeline M Pereira, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Ripon, WI
NPI 1912936576 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1912936576
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 91626-30 (WI)
- Practice address
- 933 Newbury St
Ripon, WI 54971-1730 - Phone
- (920) 748-3101
- Fax
- (920) 406-7675
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anesthesia Partners Services SC
Practice addresses (Care Compare)
2801 W Kinnickinnic River Pkwy
Suite 1080
Milwaukee, WI 53215-3689
Phone (414) 908-6500
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WI, CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040504001445 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2163410598 | Reassigns benefits to 1 organization |
| I20120718000535 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2163410598 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48622 | WI | MD | Clinical Pathology/Laboratory Medicine Physician |
| 2650 | CA | MD | Clinical Nurse Specialist |
| 91626-30 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Partners Services, S.C. | Current |
Accepting new patients | |
| Gazzz Group SC | Nurse Anesthetist, Certified Registered | Past |
Accepting new patients |
| Southeastern Wisconsin Anesthesiology, S.C. | Past | Accepting new patients |
Locations
2801 W Kinnickinnic River Pkwy
Ste 1030
Milwaukee, WI 53215
Phone (414) 649-5200
2801 W Kinnickinnic River Pkwy
Ste 1080
Milwaukee, WI 53215
Phone (414) 908-6506
88948 Box
Milwaukee, WI 53288
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 91626-30 | WI | Yes |
Addresses
Primary practice location
933 Newbury St
Ripon, WI 54971-1730
Mailing address
200 E Washington St
P O Box 8031
Appleton, WI 54911-5490
Phone (888) 883-8533
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44306900 | Medicaid | WI |
Other names
- Madeline M Machi
Other providers in Ripon, WI
- Jacqueline Page
- Rachel Palmy Pallex
- Ewa M Paszkiewicz
- Bailey J Patterson
- Autumn Susan Pawlowski
- Zachariah Pickart
- Angela Pickhard
- Kurt W Piernot
- Pleasant Park Place LLC
- Racheal Anne Pluim-Bergmann
All providers in Ripon, WI · Certified Registered Nurse Anesthetist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.