Active NPI
Laura A Huebel, P.A.
- Physician Assistant
- Jefferson, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1290
- Practice address
- W5843 Gehler Rd
Jefferson, WI 53549-9662 - Phone
- (414) 759-4119
- NPI assigned
- Jan 13, 2006
- Last updated
- Feb 8, 2021
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1290 | WI | Primary |
| Medical Physician Assistant | 363AM0700X | 1290-23 | WI |
Addresses
Primary practice location
W5843 Gehler Rd
Jefferson, WI 53549-9662
Mailing address
W5843 Gehler Rd
Jefferson, WI 53549-9662
Phone (414) 759-4119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41982900 | Medicaid | WI |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1011 Spring City Dr
Suite 250
Waukesha, WI 53186-5934
Phone (262) 928-0370
109 Air Park Dr
Watertown, WI 53094-7400
Phone (262) 928-5100
1185 Corporate Ctr Dr
Suite 175
Oconomowoc, WI 53066-4889
Phone (262) 928-8400
1279 W Capitol Dr
Pewaukee, WI 53072-2504
Phone (262) 928-9180
13900 W National Ave
New Berlin, WI 53151-9515
Phone (262) 928-4500
195 Discovery Dr
Brookfield, WI 53045-2862
Phone (262) 513-7100
2130 Big Bend Rd
Waukesha, WI 53189-7624
Phone (262) 928-7555
240 Maple Ave
Mukwonago, WI 53149-8475
Phone (262) 928-1900
2750 Golf Rd
Delafield, WI 53018-2062
Phone (262) 928-4900
790 Cornerstone Xing
Waterford, WI 53185-4582
Phone (262) 363-1977
N16W24131 Riverwood Dr
Waukesha, WI 53188-1106
Phone (262) 696-0808
N17W24100 Riverwood Dr
Waukesha, WI 53188-1127
Phone (262) 928-4704
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1290-23 | WI | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Medical Group Inc. | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Current | Accepting new patients | |
| Reedsburg Area Medical Center Inc | Current | Accepting new patients | |
| Reedsburg Area Medical Center, Inc. | Current | Accepting new patients | |
| Astia Health Clinical Services, SC | Past | Accepting new patients |
Locations
611 Sherman Ave E
Fort Atkinson, WI 53538
Phone (920) 563-6667
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
2000 N Dewey Ave
Reedsburg, WI 53959
Phone (608) 524-6487
808 Cornerstone Xing
Waterford, WI 53185
Phone (262) 500-5292
N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 8
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.
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
-
- Emergency Medicine Physician
- Madison, WI
- NPI 1588646095
-
- Critical Access Hospital
- Reedsburg, WI
- NPI 1891796710
-
- Family Medicine Physician
- Hartland, WI
- NPI 1386785178
-
dba RAMC La Valle Clinic
- Rural Health Clinic/Center
- La Valle, WI
- NPI 1437049566
-
- Family Medicine Physician
- Reedsburg, WI
- NPI 1457780983
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Marshfield, WI
- NPI 1295106318
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waukesha, WI
- NPI 1629056890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612742400000",
"number": "1912986209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W5843 GEHLER RD",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "535499662",
"telephone_number": "414-759-4119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W5843 GEHLER RD",
"city": "JEFFERSON",
"state": "WI",
"postal_code": "535499662",
"telephone_number": "414-759-4119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEBEL",
"first_name": "LAURA",
"middle_name": "A",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-13",
"last_updated": "2021-02-08",
"certification_date": "2021-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "1290",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WI",
"license": "1290-23",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41982900",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2021; 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.