ABIGAIL RUDOLPH
NPI 1255029583
Physician Assistant in Milwaukee, WI

Active since April 25, 2023PECOS EnrolledAccepts Medicare Assignment
945 N 12TH ST, MILWAUKEE, WI 53233(920) 573-3344 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2024, Aug 1, 2024 (2 updates tracked since 2024).

About Abigail Rudolph NPPES

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

ABIGAIL RUDOLPH (NPI 1255029583) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (7909-23) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Washington County, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255029583
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameABIGAIL RUDOLPH
Location Address945 N 12TH STMilwaukee, WI 53233-1305
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 25, 2023
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
NPI 1255029583 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 · 7909-23
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.
945 N 12TH ST, Milwaukee, WI 53233

Other Identifiers 1

Medicaid100284912WI

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

Abigail Rudolph 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 ID6901344514
PECOS Enrollment IDI20240814002112
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 2

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

Aurora Medical Ctr Washington County

Acute Care Hospitals · Hartford, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520038
Location1032 E Sumner StHartford, WI 53027 · Washington County
Emergency services

Aurora Medical Center Kenosha

Acute Care Hospitals · Kenosha, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520189
Location10400 75th StKenosha, WI 53142 · Kenosha County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53233 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.

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.

Family Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Nurse Practitioner
945 N 12TH ST
MILWAUKEE, WI 53233
Physician Assistant
945 N 12TH ST
MILWAUKEE, WI 53233
Emergency Medicine
945 N 12TH ST
MILWAUKEE, WI 53233
Registered Nurse
945 N 12TH ST
MILWAUKEE, WI 53233
Registered Nurse (Registered Nurse First Assistant)
945 N 12TH ST
MILWAUKEE, WI 53233
Clinic/Center (Federally Qualified Health Center (FQHC))
945 N 12TH ST, URGENT CARE
MILWAUKEE, WI 53233
Anesthesiologist Assistant
945 N 12TH ST
MILWAUKEE, WI 53233

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 Abigail Rudolph's NPI number?

The NPI number for Abigail Rudolph is 1255029583. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is Abigail Rudolph located?

Abigail Rudolph practices at 945 N 12th St, Milwaukee, WI 53233. The listed phone number is (920) 573-3344.

What is Abigail Rudolph's specialty?

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

Is Abigail Rudolph enrolled in Medicare?

Yes. Abigail Rudolph 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 Abigail Rudolph accept?

Health plans from Aspirus Health Plan and CareSource (Common Ground Healthcare) list Abigail Rudolph 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 Abigail Rudolph affiliated with any hospitals?

According to CMS data, Abigail Rudolph is affiliated with Aurora Medical Ctr Washington County and Aurora Medical Center Kenosha.

When was this NPI record last updated?

The NPPES record for Abigail Rudolph was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.