Deanna N Ficke, PA-C
Individual provider Active NPI Physician Assistant · Summit, WI
NPI 1972886331 · NPPES record last updated Dec 19, 2023
Key facts
- NPI
- 1972886331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 3427 (WI)
- Practice address
- 36500 Aurora Dr
Summit, WI 53066-4899 - Phone
- (262) 434-8800
- NPI assigned
- Sep 22, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 27
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aurora Advanced Healthcare, Inc.
Aurora Health Care Metro, Inc.
Practice addresses (Care Compare)
12203 N Corporate Pkwy
Mequon, WI 53092-3388
Phone (262) 387-8200
2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 649-6000
36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-1000
Hospital & facility affiliations
- Aurora St Lukes Medical Center
- Aurora Medical Center - Summit
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141223002182 | WI | Practitioner - Physician Assistant | 7416102041 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.004097 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aurora Health Care Metro, Inc. | Current |
Accepting new patients | |
| Aurora Advanced Healthcare Inc | Current |
Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Current |
Accepting new patients |
Locations
709 Spring Valley Rd
Burlington, WI 53105
Phone (262) 767-6020
W180N11070 River Ln
Germantown, WI 53022
Phone (262) 532-9700
3003 W Good Hope Rd
Glendale, WI 53209
Phone (414) 352-3100
12203 N Corporate Pkwy
Mequon, WI 53092
Phone (262) 387-8200
2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590
36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000
Interoperability endpoints
- dficke139124@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.004097 | IL | |
| Physician Assistant | 363A00000X | 3427 | WI | Yes |
Addresses
Primary practice location
36500 Aurora Dr
Summit, WI 53066-4899
Mailing address
36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-8800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100041869 | Medicaid | WI |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dficke139124@direct.myadvocateaurora.org | Direct |
Other providers in Summit, WI
- Kevin L Eggleston
- Mikayla Nicole Ehlert
- Angela Marie Ellenberger
- Jennifer K Evans
- Joey Falkner
- FMG North Summit Village Way Wisconsin LLC
- Amy R Ford
- Rachel Lorraine Fournogerakis
- Kathryn Eileen Gallagher
- Peter Anthony Garza Jr.
All providers in Summit, WI · Physician Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2023. 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.
- Order and Referring (CMS).
- 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.