ANDREA L PENNINGTON PA
NPI 1184643413
Physician Assistant in Antigo, WI

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
76.95/100
CMS Quality Rating
110 E 5TH AVE, ANTIGO, WI 54409(715) 623-2351 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea L Pennington Pa NPPES

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

ANDREA L PENNINGTON PA (NPI 1184643413) is an individual physician assistant in Antigo, Wisconsin, licensed in Wisconsin (1861) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Aspirus Rhinelander Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1184643413
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANDREA L PENNINGTONCredential: PA
Location Address110 E 5TH AVEAntigo, WI 54409-2710
Mailing Address3000 Westhill Dr, Suite 303Wausau, WI 54401-3795 · (715) 847-2304
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 18, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1184643413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 1861
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
110 E 5TH AVE, Antigo, WI 54409

Other Identifiers 2

Medicare UPINQ47580WI
Medicaid42870300WI

Accepted 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

Andrea L Pennington Pa 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 ID3870521164
PECOS Enrollment IDI20050728000465
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.

Hospital Affiliations CMS Care Compare 3

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

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Aspirus Wausau Hospital

Acute Care Hospitals · Wausau, WI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number520030
Location333 Pine Ridge BlvdWausau, WI 54401 · Marathon County
Emergency services Birthing friendly

Langlade Hospital

Critical Access Hospitals · Antigo, WI
OwnershipVoluntary non-profit - Church
CMS Certification Number521350
Location112 E Fifth AveAntigo, WI 54409 · Langlade County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54409 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

76.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.52
Promoting Interoperability100
Improvement Activities40
Cost25.22

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers12 claims12 services$38.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

Dietitian, Registered
110 E 5TH AVE
ANTIGO, WI 54409
Dietitian, Registered
110 E 5TH AVE
ANTIGO, WI 54409
Physician Assistant
110 E 5TH AVE
ANTIGO, WI 54409
Nurse Practitioner
110 E 5TH AVE
ANTIGO, WI 54409
Family Medicine
110 E 5TH AVE
ANTIGO, WI 54409
Family Medicine
110 E 5TH AVE
ANTIGO, WI 54409
Physician Assistant (Medical)
110 E 5TH AVE
ANTIGO, WI 54409
Internal Medicine
110 E 5TH AVE
ANTIGO, WI 54409

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 Andrea Pennington's NPI number?

The NPI number for Andrea Pennington is 1184643413. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Andrea Pennington located?

Andrea Pennington practices at 110 E 5th Ave, Antigo, WI 54409. The listed phone number is (715) 623-2351.

What is Andrea Pennington's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrea Pennington enrolled in Medicare?

Yes. Andrea Pennington 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 Andrea Pennington accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Andrea Pennington 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 Andrea Pennington affiliated with any hospitals?

According to CMS data, Andrea Pennington is affiliated with Aspirus Rhinelander Hospital, Aspirus Wausau Hospital and Langlade Hospital.

When was this NPI record last updated?

The NPPES record for Andrea Pennington was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.