Active NPI
Daniel Neis
- Physician Assistant
- Brookfield, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 3546-23
- Practice address
- 2455 Whipple Tree LN
Brookfield, WI 53045-4225 - Phone
- (262) 366-3931
- NPI assigned
- Jun 16, 2015
- Last updated
- Jun 16, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3546-23 | WI | Primary |
Addresses
Primary practice location
2455 Whipple Tree LN
Brookfield, WI 53045-4225
Mailing address
2455 Whipple Tree LN
Brookfield, WI 53045-4225
Phone (262) 366-3931
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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (262) 687-7550
201 N Mayfair Rd
Wauwatosa, WI 53226-4216
Phone (414) 259-7200
2061 Cheyenne CT
Grafton, WI 53024-9368
Phone (262) 376-1934
375 W River Woods Pkwy
Glendale, WI 53212-1080
Phone (414) 326-1500
3801 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-4011
3807 Spring St
Mount Pleasant, WI 53405-1667
Phone (262) 687-8173
5000 W Chambers St
Milwaukee, WI 53210-1650
Phone (414) 447-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3546-23 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Medical Group-Southeast Wisconsin Inc | Physician Assistant | Current | Accepting new patients |
Locations
1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950
13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400
19333 W North Ave
Brookfield, WI 53045
Phone (262) 785-2000
614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042
10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700
9969 S 27th St
Franklin, WI 53132
Phone (414) 325-2229
375 W River Woods Pkwy
Glendale, WI 53212
Phone (414) 326-1500
2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932
3237 S 16th St
Milwaukee, WI 53215
Phone (414) 647-5000
5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089
10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040
3801 Spring St
Mount Pleasant, WI 53405
Phone (262) 636-4011
3807 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-8173
500 S Oakwood Rd
Oshkosh, WI 54904
Phone (920) 223-0501
13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300
201 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 259-7200
201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228
Organizations & group practices 2
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.
-
- Emergency Medicine Physician
- Milwaukee, WI
- NPI 1568413524
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
Physician Assistant
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ascension Columbia St Mary's Hospital Milwaukee Campus
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1871656082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434412800000",
"number": "1982085874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2455 WHIPPLE TREE LN",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530454225",
"telephone_number": "262-366-3931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 WHIPPLE TREE LN",
"city": "BROOKFIELD",
"state": "WI",
"postal_code": "530454225",
"telephone_number": "262-366-3931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIS",
"first_name": "DANIEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-06-16",
"last_updated": "2015-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "3546-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brookfield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.