Active NPI
Emily Jean Trentadue, PA-C
- Physician Assistant
- Oak Creek, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2037-23
- Practice address
- 500 W Drexel Ave Ste 300
Oak Creek, WI 53154-2060 - Phone
- (414) 771-6780
- Fax
- (414) 238-2424
- NPI assigned
- Aug 4, 2006
- 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 | 2037-23 | WI | Primary |
| Physician Assistant | 363A00000X | 2037-023 | WI |
Addresses
Primary practice location
500 W Drexel Ave Ste 300
Oak Creek, WI 53154-2060
Mailing address
2885 N Mayfair Rd
Wauwatosa, WI 53222-4404
Phone (414) 771-6780
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42888500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
201 Pennsylvania Pkwy
Carmel, IN 46280-2301
Phone (317) 817-1480
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2037-023 | WI | MD | Physician Assistant |
| 2037-23 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Midwest Area Physicians, LLC | Past | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Cardiovascular Associates of Wisconsin, LLP | Past | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
201 Pennsylvania Pkwy
Carmel, IN 46280
Phone (317) 817-1254
11725 Illinois St
Carmel, IN 46032
Phone (317) 617-4808
201 Pennsylvania Pkwy
Ste 100
Carmel, IN 46280
Phone (317) 817-1636
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
Interoperability endpoints
- etrentadue@direct.iuhealth.org
Organizations & group practices 5
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
-
- Cardiovascular Disease Physician
- Milwaukee, WI
- NPI 1841286291
-
- Anesthesiology Physician
- Milwaukee, WI
- NPI 1245470699
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, IN
- NPI 1568492916
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560470400000",
"number": "1942218102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2885 N MAYFAIR RD",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532224404",
"telephone_number": "414-771-6780",
"fax_number": "414-238-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W DREXEL AVE STE 300",
"city": "OAK CREEK",
"state": "WI",
"postal_code": "531542060",
"telephone_number": "414-771-6780",
"fax_number": "414-238-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRENTADUE",
"first_name": "EMILY",
"middle_name": "JEAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2019-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "2037-23",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "2037-023",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42888500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Creek, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.