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SUSAN R WILHELM PA-C
NPI 1003865080
Physician Assistant - Medical in Madison, WI

Active since May 08, 2006PECOS EnrolledAccepts Medicare Assignment
77.43/100
CMS Quality Rating
202 S PARK ST, MERITER ATRIUM, MADISON, WI 53715(608) 417-5970(608) 417-5966 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2021, Jul 26, 2019 (2 updates tracked since 2019).

About Susan R Wilhelm Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN R WILHELM PA-C (NPI 1003865080) is an individual medical provider in Madison, Wisconsin, licensed in Wisconsin (769-023) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1003865080
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSUSAN R WILHELMCredential: PA-C
Location Address202 S PARK ST, MERITER ATRIUMMadison, WI 53715-1507
Mailing Address202 S Park St, Meriter AtriumMadison, WI 53715-1507 · (608) 417-5970 · Fax (608) 417-5966
Phone(608) 417-5970
Fax(608) 417-5966
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 8, 2006
Last NPPES UpdateMay 4, 20212 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
✔ NPI 1003865080 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WI · 769-023
Also ListedPhysician AssistantTaxonomy 363A00000X · License 769-023 (WI)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 769-023 (WI)
202 S PARK ST, Madison, WI 53715
Open in Google Maps ↗

Other Identifiers 3

Other3962WI · Dean Health Insurance
Other970010936WI · Railraod Medicare
Medicaid42949700WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Susan R Wilhelm Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244298164
PECOS Enrollment IDI20041223000286
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
88 services57 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
76 services70 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
23 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unitypoint Health - Meriter

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520089
Location202 S Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

University Of Wi Hospitals & Clinics Authority

Acute Care Hospitals · Madison, WI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number520098
Location600 Highland AvenueMadison, WI 53792 · Dane County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.43/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.83
Promoting Interoperability77
Improvement Activities40
Cost62.12

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY N BERKA NURSE PRACTITIONER
Nurse Practitioner
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6667
BROOK INGEBRIGTSON APNP
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6236
PAUL LADWIG RN
Registered Nurse
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6000
DIXITA KAPPELL NP
Nurse Practitioner (Neonatal, Critical Care)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6236
PETER GERARD PRYDE MD
Anesthesiology
202 S PARK ST, 4 TOWER
MADISON, WI 53715
Dane County (608) 267-6676
SUSAN MENG PT
Physical Therapist
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-6000
BRIAN DAVID GRIFFITH M.D.
Internal Medicine (Critical Care Medicine)
202 S PARK ST
MADISON, WI 53715
Dane County (608) 417-5950
MONICA A ODEGARD
Occupational Therapist
202 S PARK ST
MADISON, WI 53715
Dane County (608) 267-5421

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Wilhelm's NPI number?

The NPI number for Susan Wilhelm is 1003865080. It was assigned to this individual provider in the NPPES registry on May 8, 2006.

Where is Susan Wilhelm located?

Susan Wilhelm practices at 202 S Park St Meriter Atrium, Madison, WI 53715. The listed phone number is (608) 417-5970.

What is Susan Wilhelm's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Susan Wilhelm enrolled in Medicare?

Yes. Susan Wilhelm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Susan Wilhelm accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners, Quartz and Security Health Plan list Susan Wilhelm as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Susan Wilhelm affiliated with any hospitals?

According to CMS data, Susan Wilhelm is affiliated with Unitypoint Health - Meriter and University Of Wi Hospitals & Clinics Authority.

When was this NPI record last updated?

The NPPES record for Susan Wilhelm was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.