ABIGAIL M MCGUIRE PA-C
NPI 1295288165
Physician Assistant - Medical in Madison, WI

Active since July 27, 2016PECOS EnrolledAccepts Medicare Assignment
5618 ODANA RD, MADISON, WI 53719(608) 274-1100(608) 274-0310 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2021, Jul 23, 2019, Mar 1, 2017 (3 updates tracked since 2017).

About Abigail M Mcguire Pa-c NPPES

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

ABIGAIL M MCGUIRE PA-C (NPI 1295288165) is an individual medical provider in Madison, Wisconsin, licensed in Wisconsin (3756-23) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Unitypoint Health - Meriter, and is a graduate of University Of Wisconsin School Of Medicine (2016).

NPPES Registry Identity

NPI1295288165
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameABIGAIL M MCGUIRECredential: PA-C
Location Address5618 ODANA RDMadison, WI 53719-1208
Mailing Address7974 Uw Health CtMiddleton, WI 53562-5531
Fax(608) 274-0310
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2016
Enumeration DateJuly 27, 2016
Last NPPES UpdateJanuary 20, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2021
NPI 1295288165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WI · 3756-23
5618 ODANA RD, Madison, WI 53719

Other Names 1

Former Name (1)Abigail Studinger

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 M Mcguire 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 ID4183918147
PECOS Enrollment IDI20160815000497
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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
18 services17 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.
15 services13 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
13 services11 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

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.

Nurse Practitioner
5618 ODANA RD
MADISON, WI 53719
Family Medicine
5618 ODANA RD
MADISON, WI 53719
Internal Medicine
5618 ODANA RD
MADISON, WI 53719
Family Medicine
5618 ODANA RD
MADISON, WI 53719
Nurse Practitioner (Family)
5618 ODANA RD
MADISON, WI 53719
Family Medicine
5618 ODANA RD
MADISON, WI 53719
Nurse Practitioner (Family)
5618 ODANA RD
MADISON, WI 53719
Family Medicine
5618 ODANA RD
MADISON, WI 53719

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 Mcguire's NPI number?

The NPI number for Abigail Mcguire is 1295288165. It was assigned to this individual provider in the NPPES registry on July 27, 2016. The provider is also known as Abigail Studinger.

Where is Abigail Mcguire located?

Abigail Mcguire practices at 5618 Odana Rd, Madison, WI 53719. The listed phone number is (608) 274-1100.

What is Abigail Mcguire's specialty?

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

Is Abigail Mcguire enrolled in Medicare?

Yes. Abigail Mcguire 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 Mcguire accept?

Health plans from Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW, HealthPartners, Quartz and Security Health Plan list Abigail Mcguire 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 Mcguire affiliated with any hospitals?

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

When was this NPI record last updated?

The NPPES record for Abigail Mcguire was last updated on January 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.